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Organization

LUNDQUIST, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIPTON LUNDQUIST (OWNER/MD)
(612) 347-3744
Entity
Organization

Contact information

Practice address
6545 FRANCE AVE S, SUITE 480, EDINA, MN 55435-2131
(612) 347-3744
Mailing address
7801 E BUSH LAKE RD, SUITE 320, MINNEAPOLIS, MN 55439-3120
(952) 831-5773
(952) 831-7224

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24005
MN

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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