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Individual

DR. DANIEL TIMOTHY PROBST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5675
(651) 968-5904

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2020017643
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
69527
MN

Other

Enumeration date
06/30/2016
Last updated
08/02/2021
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