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Individual

DR. DONALD CLAUSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
825 NICOLLET MALL, SUITE #825, MINNEAPOLIS, MN 55402-2606
(612) 338-5420
Mailing address
825 NICOLLET MALL, SUITE #825, MINNEAPOLIS, MN 55402-2606
(612) 338-5420

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7406
MN
1223P0700X
Prosthodontics
Primary
D7406
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33788600
BADGER CARE
WI
01
983520200
MINNESOTA CARE
MN
Enumeration date
12/28/2005
Last updated
10/04/2016
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