Individual
DR. MICHAEL JOEL DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 MARQUETTE AVE STE 100, MINNEAPOLIS, MN 55402-1144
(612) 338-5557
Mailing address
510 MARQUETTE AVE STE 100, MINNEAPOLIS, MN 55402-1144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13526
MN
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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