Individual
DR. MCLEAN SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1050 MINNESOTA AVENUE SOUTH, AITKIN, MN 56431
(218) 927-3785
(218) 927-1785
Mailing address
1050 MINNESOTA AVENUE SOUTH, AITKIN, MN 56431
(218) 927-3785
(218) 927-1785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13370
MN
1223D0001X
Public Health Dentistry
D13370
MN
Other
Enumeration date
05/28/2014
Last updated
01/25/2018
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