Individual
DENNIS K SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 CENTRAL AVE N, STE 228 PARK NICOLLET CLINIC - WAYZAT, WAYZATA, MN 55391
(952) 993-8250
(952) 993-8276
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39874
MN
Other
Enumeration date
12/27/2005
Last updated
06/26/2012
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