Individual
DR. RICHARD W MASUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
665 3RD ST SW, PERHAM, MN 56573-1108
(218) 346-4500
Mailing address
3809 EWING AVE S, MINNEAPOLIS, MN 55410-1051
(612) 920-8226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900283900
—
MN
Enumeration date
03/10/2006
Last updated
02/24/2009
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