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Individual

JOHN E AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
410 30TH AVE E STE 102, ALEXANDRIA, MN 56308-4770
(320) 763-5505
(320) 763-4447
Mailing address
410 30TH AVE E STE 102, ALEXANDRIA, MN 56308-4770
(320) 763-5505
(320) 763-4447

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9594
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41-2017731
GROUP NPI # 1184700924
MN
Enumeration date
06/04/2014
Last updated
06/04/2014
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