Individual
RICHARD BRUCE FLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14400 MARTIN DR, EDEN PRAIRIE, MN 55344-2031
(952) 934-7554
(952) 934-7554
Mailing address
165 WESTERN AVE N, SAINT PAUL, MN 55102-4621
(612) 240-5923
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
132523-4
MN
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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