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Individual

DR. JASON MATTHEW DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST, SAINT PAUL, MN 55106
(651) 772-3461
(651) 772-2605
Mailing address
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST, SAINT PAUL, MN 55106
(651) 772-3461
(651) 772-2605

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46707
MN

Other

Enumeration date
07/11/2006
Last updated
07/09/2007
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