Individual
REMINGTON UTGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2214 MILTON ST N, ROSEVILLE, MN 55113-4422
(701) 361-8170
Mailing address
2214 MILTON ST N, ROSEVILLE, MN 55113-4422
(701) 361-8170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2077
MN
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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