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Individual

NATHAN DAVID LAPOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-3103
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 529-9120

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51978
MN
207Q00000X
Family Medicine Physician
51978
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-37336
MEDICA
01
1790952612
BCBS
MN
01
1790952612
GROUP HEALTH
05
1790952612
MN
01
P00767172
MEDICARE RAILROAD
Enumeration date
05/09/2008
Last updated
12/28/2017
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