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Individual

DR. PATRICK JAMES MCGANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8981 33RD ST. NORTH, LAKE ELMO, MN 55042
(651) 777-1337
(651) 748-0480
Mailing address
8981 33RD ST. NORTH, LAKE ELMO, MN 55042
(651) 777-1337
(651) 748-0480

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11689
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
978111100
MN
Enumeration date
08/31/2006
Last updated
06/04/2024
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