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Individual

MARK WILLIAM DEWEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D., CGP

Contact information

Practice address
712 S CASCADE ST, LAKE REGION HEALTHCARE CORP, FERGUS FALLS, MN 56537-2913
(218) 736-8057
Mailing address
23050 BIRCHWOOD ESTATES RD, FERGUS FALLS, MN 56537-4518
(218) 736-8057
(218) 736-8787

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
116779-3
MN

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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