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Individual

DR. LON J AUGDAHL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8455 FLYING CLOUD DR, STE 200, EDEN PRAIRIE, MN 55344-3974
(952) 993-7400
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41562
MN

Other

Enumeration date
12/27/2005
Last updated
07/08/2007
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