Individual
GARJAE DAYAN LAVIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 PHALEN BLVD, MAIL STOP 51103C, SAINT PAUL, MN 55130
(651) 254-8500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
60491
MN
Other
Enumeration date
03/23/2010
Last updated
11/26/2024
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