Individual
MIKE LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3777 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2515
(952) 929-2315
Mailing address
3777 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117827-4
MN
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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