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Individual

EDGAR LEE ESPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-4915
(218) 333-4766
Mailing address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
354
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
923025400
MN
Enumeration date
07/18/2006
Last updated
01/18/2012
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