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Individual

JAMIE DON LAUWAGIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24087 CUYUNA ST, DEERWOOD, MN 56444-3301
(182) 833-5160
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73874
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2020
Last updated
08/24/2023
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