Individual
DR. DYLAN SHEA SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68036
MN
Other
Enumeration date
03/22/2019
Last updated
08/27/2020
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