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Individual

WILLIAM R KUGLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
401 PHALEN BLVD, MAIL STOP 41104E, ST PAUL, MN 55101-5302
(651) 254-8380
(651) 254-8386
Mailing address
8100 34TH AVE S, MS 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
452
MN
213ES0131X
Foot Surgery Podiatrist
452
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
074025000
MN
Enumeration date
02/03/2006
Last updated
12/01/2011
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