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DANIEL LAWRENCE PERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
3044 OTTAWA AVE S, SAINT LOUIS PARK, MN 55416-2207
(651) 492-6643

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180737-0
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
100384
MN

Other

Enumeration date
07/17/2013
Last updated
12/30/2013
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