Individual
JOEL SYVRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
618
MN
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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