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MR. JOHN ALLEN SUNDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
684 EXCELSIOR BLVD, SUITE 200, EXCELSIOR, MN 55331-1980
(612) 669-7755
(952) 931-9578
Mailing address
684 EXCELSIOR BLVD, SUITE 200, EXCELSIOR, MN 55331-1980
(612) 669-7755
(952) 931-9578

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MN
174400000X
Specialist

Other

Enumeration date
07/31/2009
Last updated
07/31/2009
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