Individual
MIKE TORSTEN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, TMD CLINIC, MINNEAPOLIS, MN 55455-0357
(612) 626-0140
Mailing address
515 DELAWARE ST SE, TMD CLINIC, MINNEAPOLIS, MN 55455-0357
(612) 626-0140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FF38
MN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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