Individual
PETER MEVISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 HENNEPIN AVE, MINNEAPOLIS, MN 55408-1149
(612) 377-3308
Mailing address
2650 HENNEPIN AVE, MINNEAPOLIS, MN 55408-1149
(763) 242-7465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124634
MN
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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