Individual
DR. KARL HAAKON ANDREASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1912 LEXINGTON AVE N, SUITE 150, ROSEVILLE, MN 55113-6154
(651) 636-2420
(651) 636-3199
Mailing address
1912 LEXINGTON AVE N, SUITE 150, ROSEVILLE, MN 55113-6154
(651) 636-2420
(651) 636-3199
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D10904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497814032
CLINIC NPI
MN
Enumeration date
02/09/2006
Last updated
01/03/2008
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