Individual
VICTORIA MOSSMAN-VANEENDENBURG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1512
(612) 672-6402
Mailing address
111 E 107TH STREET CIR, BLOOMINGTON, MN 55420-5313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32206
MN
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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