Individual
PHILIP LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1402 HIGHWAY 71, INTERNATIONAL FALLS, MN 56649-2154
(763) 689-5385
Mailing address
101 SHOREWOOD DR APT 23, INTERNATIONAL FALLS, MN 56649-2126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2117
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401358
MEDICA
MN
01
—
8B509LU
BCBS
MN
Enumeration date
09/28/2006
Last updated
07/09/2007
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