Individual
MICHAEL DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2893 KNOX AVE S, 409, MINNEAPOLIS, MN 55408-1881
(412) 215-4158
Mailing address
2893 KNOX AVE S, 409, MINNEAPOLIS, MN 55408-1881
(412) 215-4158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121946
MN
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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