Individual
DR. FREDERICK MONROE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 MAIN STREET, NICOLLET, MN 56074-0009
(507) 232-3481
Mailing address
PO BOX 9, NICOLLET, MN 56074-0009
(507) 232-3481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9188
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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