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Individual

DEAN J COCHRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
4125 BALSAM LN N, PLYMOUTH, MN 55441-1452

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1351509
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016T0CO
BCBSMN
MN
05
983198300
MN
Enumeration date
08/09/2005
Last updated
05/15/2008
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