Individual
MR. MICHAEL THOMAS MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7900 MARKET BLVD, CHANHASSEN, MN 55317-4565
(952) 934-2865
(952) 934-5729
Mailing address
860 LAKE SUSAN HILLS DR, CHANHASSEN, MN 55317-8709
(952) 294-4296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117192
MN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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