Individual
DR. DENNIS A PHILANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5775 WAYZATA BLVD, SUITE 700, ST LOUIS PARK, MN 55416-1222
(612) 314-8072
(612) 314-8072
Mailing address
5775 WAYZATA BLVD, SUITE 700, ST LOUIS PARK, MN 55416-1222
(612) 314-8072
(612) 314-8072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020096J
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020096J
MN STATE LICENCE
MN
05
—
634272800
—
MN
Enumeration date
09/05/2006
Last updated
11/23/2015
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