Individual
MR. JOEL DEAN AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4175 VINEWOOD LN N, T-0664, PLYMOUTH, MN 55442-2624
(763) 553-1757
(763) 553-1757
Mailing address
4174 VINEWOOD LANE NORTH, T-0664, PLYMOUTH, MN 55442-2624
(763) 553-1757
(763) 553-1757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111556
MN
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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