Individual
DR. MICHAEL MROSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3475 PLYMOUTH BLVD, SUITE 100, PLYMOUTH, MN 55447-1499
(763) 546-9045
Mailing address
3475 PLYMOUTH BLVD, SUITE 100, PLYMOUTH, MN 55447-1499
(763) 546-9045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9972
MN
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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