Individual
MAX JOSEPH MILLER LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 W 66TH ST, SUITE 350, EDINA, MN 55435-2111
(952) 832-0805
(952) 832-5597
Mailing address
3400 W 66TH ST, SUITE 350, EDINA, MN 55435-2111
(952) 832-0805
(952) 832-5597
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10585
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10585
LICENSE
MN
Enumeration date
06/12/2009
Last updated
09/29/2015
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