Individual
DAVID KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 LYNDALE AVE S, MINNEAPOLIS, MN 55405-3026
(612) 874-1313
(612) 874-6767
Mailing address
8979 VINEWOOD LN N, MAPLE GROVE, MN 55369-9124
(763) 498-1986
(612) 874-6767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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