CHARLES MCCOY

ST LOUIS PARK, MN
NPI1942288782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  24341)
Enumeration Date2006-01-03
Last Update Date2011-10-07
Business Address
-- CHARLES MCCOY
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-3400
Mailing Address
-- CHARLES MCCOY
6465 WAYZATA BLVD SUITE 315
ST LOUIS PARK, MN 55426-1728
Phone number: