Individual
MICHAEL JULIUS WEISBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 WHITE BEAR PKWY, SAINT PAUL, MN 55110-3336
(651) 762-7677
Mailing address
1565 LAUREL AVE, SAINT PAUL, MN 55104-6739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12470
MN
Other
Enumeration date
07/23/2007
Last updated
08/26/2014
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