Individual
IFTU G DOROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3638 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1343
(612) 823-2947
Mailing address
4844 CHESTNUT DR, WOODBURY, MN 55129-4402
(218) 340-8422
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12008
MN
Other
Enumeration date
06/14/2024
Last updated
02/25/2025
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