Individual
THEODORE P VANERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35528
MN
Other
Enumeration date
05/16/2006
Last updated
02/04/2014
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