Individual
JANE F MARYSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 362-4111
(612) 362-4115
Mailing address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 362-4111
(612) 362-4115
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
37660
MN
Other
Enumeration date
06/03/2006
Last updated
11/09/2007
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