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Organization

MARY M. TRITES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY MOE TRITES M.D. (PRESIDENT)
(651) 249-7890
Entity
Organization

Contact information

Practice address
1303 29TH AVE NW, NEW BRIGHTON, MN 55112-6386
(651) 249-7890
(888) 582-8339
Mailing address
1303 29TH AVE NW, NEW BRIGHTON, MN 55112-6386
(651) 249-7890
(888) 582-8339

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26084
MN

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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