Individual
MARTIN LEE IMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6525 FRANCE AVE S, PAUL LARSON OB GYN CLINIC STE 100, EDINA, MN 55435-3624
(952) 927-4021
(952) 285-6183
Mailing address
6525 FRANCE AVE S, PAUL LARSON OB GYN CLINIC STE 100, EDINA, MN 55435-3624
(952) 927-4021
(952) 285-6183
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33213
MN
Other
Enumeration date
02/02/2006
Last updated
03/19/2014
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