Individual
MICHAEL J NOFFZE
Active
Individual
MICHAEL J NOFFZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2025
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11700
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
49823
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717683000
—
MN
Enumeration date
01/06/2006
Last updated
05/24/2019
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