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Individual

MR. ADAM JAMES UITHOVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-9840
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MN

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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