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Individual

MARCELLUS HORSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4255 PHEASANT RIDGE DR NE STE 407, BLAINE, MN 55449-5066
(763) 225-6100
Mailing address
240 CHICAGO AVE APT 505, MINNEAPOLIS, MN 55415-2240

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14283
MN

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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