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Individual

MR. MICHAEL SCHIAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4024 14TH AVE S, MINNEAPOLIS, MN 55407-3248
(612) 518-1036
Mailing address
4024 14TH AVE S, MINNEAPOLIS, MN 55407-3248
(612) 518-1036

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
08/21/2012
Last updated
08/21/2012
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