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Individual
MR. TODD MICHAEL WESTLAKE
Active
Individual
MR. TODD MICHAEL WESTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO 1904
MN
224P00000X
Prosthetist
CPO 1904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077842
FAIRVIEW HEATH SERVICES #
MN
Enumeration date
05/02/2007
Last updated
01/26/2012
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