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Individual

SERENA L ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4300
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42734
MN

Other

Enumeration date
12/22/2005
Last updated
03/06/2012
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