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Individual

MICHAEL F CAVANAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
255 SMITH AVE N STE 100, SAINT PAUL, MN 55102-2518
(651) 292-0616
Mailing address
5316 187TH ST W, FARMINGTON, MN 55024-8952
(651) 460-6490

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R 144407-6
MN

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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