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Individual

DR. JOHANN PALL INGIMARSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RT - 1856
NH
208800000X
Urology Physician
Primary
58954
MN

Other

Enumeration date
07/17/2008
Last updated
06/06/2015
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