Individual
MR. JOHN RAYMOND MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.T.
Contact information
Practice address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(612) 839-4995
Mailing address
605 E 131ST ST, BURNSVILLE, MN 55337-3876
(952) 890-6155
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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