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Individual

DR. MICHAEL J ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2001 W LINCOLN AVE, SUITE #33, FERGUS FALLS, MN 56537-1010
(218) 739-2481
Mailing address
2001 W LINCOLN AVE, SUITE #33, FERGUS FALLS, MN 56537-1010
(218) 739-2481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10812
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
309J1AN
BLUE CROSS BLUE SHEILD
MN
Enumeration date
04/12/2007
Last updated
07/09/2007
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