Individual
MICHAEL J LASSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE, 9-176 MOOS HEALTH SCIENCE TOWER, MINNEAPOLIS, MN 55455-0357
(612) 642-1520
(612) 626-2655
Mailing address
515 DELAWARE ST SE, 9-176 MOOS HEALTH SCIENCE TOWER, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
R532
MN
Other
Enumeration date
07/23/2012
Last updated
09/17/2012
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