Individual
DR. ROGER WAYNE SJULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 JOHNSON AVE N, FOSSTON, MN 56542-1327
(218) 435-1599
(218) 435-6568
Mailing address
109 JOHNSON AVE N, FOSSTON, MN 56542-1327
(218) 435-1599
(218) 435-6568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8437
MN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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