Individual
JOHN M ROMSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
214 MAIN STREET WEST, CLARISSA, MN 56440
(218) 756-2234
(218) 756-2427
Mailing address
PO BOX 416, CLARISSA, MN 56440-0416
(218) 756-2234
(218) 756-2427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
613318500
—
MN
Enumeration date
12/13/2006
Last updated
07/08/2007
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