Individual
MARLEN MIDTHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(952) 967-7975
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67266
MN
Other
Enumeration date
04/17/2017
Last updated
09/30/2020
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