Individual
DR. MICHAEL THOMAS FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
560 DEBRA DR, LEWISTON, MN 55952-2104
(507) 523-2267
(507) 523-2206
Mailing address
27249 RUSLYNN DR, WINONA, MN 55987-4971
(507) 452-9035
(507) 457-3269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8759
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063218000
—
MN
Enumeration date
09/28/2006
Last updated
10/06/2008
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