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1972175149
THANE DAVID WIDMER
PLYMOUTH, MN
NPI
1972175149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 12260)
Enumeration Date
2021-07-15
Last Update Date
2023-08-03
Business Address
THANE DAVID WIDMER DPT
16800 37TH PL N STE 100
PLYMOUTH, MN 55446
Phone number: 763-520-7870
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Mailing Address
THANE DAVID WIDMER DPT
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5600
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