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Individual

ERIC MATTHEW JUNDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
146 LAKE ST N, FOREST LAKE, MN 55025-2518
(651) 464-8502
Mailing address
7551 9TH ST N, SUITE 100, OAKDALE, MN 55128-6629
(651) 748-4338

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7330
MN

Other

Enumeration date
01/16/2012
Last updated
01/16/2012
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