Individual
DR. MARTIN ROBERT VON IDERSTINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 LAKE RD, ROBBINSDALE, MN 55422-1800
(763) 533-6775
(763) 535-2850
Mailing address
4600 LAKE RD, ROBBINSDALE, MN 55422-1800
(763) 533-6775
(763) 535-2850
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
MN
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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