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Individual

DR. EMILLIE DEDON KIRVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4705 31ST AVE S, MINNEAPOLIS, MN 55406-3812
(612) 216-2137
Mailing address
4705 31ST AVE S, MINNEAPOLIS, MN 55406-3812
(612) 216-2137

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48664
MN

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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