Individual
MRS. DEBRA DEE MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5811 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1458
(952) 544-6223
(952) 544-6223
Mailing address
5811 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1458
(952) 544-6223
(952) 544-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0756480
MN
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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