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Individual

EDUARD MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
3070 QUINWOOD LN N, PLYMOUTH, MN 55441-2807
(952) 595-1242
(952) 935-2757
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1242
(952) 935-2757

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
38451
MN
2085N0700X
Neuroradiology Physician
38451
MN
2085R0202X
Diagnostic Radiology Physician
Primary
38451
MN
2085U0001X
Diagnostic Ultrasound Physician
38451
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
949323900
MN
Enumeration date
07/29/2005
Last updated
10/07/2009
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