Individual
CLARENCE E ELSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
1971 FAIRVIEW BEACH RD NE, ALEXANDRIA, MN 56308-4601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1106136
MN
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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