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Individual

JUSTIN THOMAS EGLSEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5601 96TH AVE N STE 200, BROOKLYN PARK, MN 55443-4505
(763) 786-9543
(763) 786-3320
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
72195
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2018
Last updated
08/25/2022
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