Individual
CAROL MARGARET ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5811 CEDAR LAKE ROAD, ST LOUIS PARK, MN 55416
(952) 544-6223
(952) 544-6271
Mailing address
5811 CEDAR LAKE ROAD, ST LOUIS PARK, MN 55416
(952) 544-6223
(952) 544-6271
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R091496-3
MN
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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