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Individual

THERESA ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R137808-7
MN

Other

Enumeration date
12/05/2013
Last updated
07/26/2016
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