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Individual

PHILIP O DOESCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(950) 915-6098
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(950) 915-6098

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
23023
WI
2085R0001X
Radiation Oncology Physician
24275
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30326300
WI
Enumeration date
06/15/2005
Last updated
08/05/2021
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