Individual
MR. MICHAEL S LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 HORACE AVE N, THIEF RIVER FALLS, MN 56701-2024
(218) 681-2932
(218) 681-5041
Mailing address
201 NORTH HORACE AVENUE, THIEF RIVER FALLS, MN 56701
(218) 681-2932
(218) 681-5041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113169
MN
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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