Individual
CHARLES DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343-9144
(952) 401-9359
Mailing address
3100 W LAKE ST, MINNEAPOLIS, MN 55416-4936
(507) 421-9881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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