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Individual

DAVID G OPSAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
(952) 920-3863
Mailing address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
(952) 920-3863

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20891
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030875700
MN
01
105710P
BCBS/MN
01
109547
VCARE
Enumeration date
09/07/2006
Last updated
06/17/2009
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