Individual
SETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15800 95TH AVE N, MAPLE GROVE, MN 55369-4400
(952) 993-1440
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31655
MN
Other
Enumeration date
12/29/2005
Last updated
11/10/2020
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