Individual
DR. ROGER KENNETH PALMQUIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 W 5TH ST, RED WING, MN 55066-2521
(651) 388-4130
Mailing address
529 9TH ST, RED WING, MN 55066-3158
(651) 388-4484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7959
MN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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