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Individual

MICHAEL VALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6490 EXCELSIOR BLVD, # E111, ST LOUIS PARK, MN 55426-4705
(952) 993-3637
Mailing address
6465 WAYZATA BLVD, SUITE 315, MINNEAPOLIS, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
33833
MN

Other

Enumeration date
12/20/2005
Last updated
10/07/2011
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