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Individual

DR. CAROL ELIZABETH NESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1145 SHENANDOAH LN N, PLYMOUTH, MN 55447-3201
(612) 596-0125
Mailing address
1145 SHENANDOAH LANE, PLYMOUTH, MN 55447
(612) 596-0125

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45370
MN

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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