Individual
MAXWELL AUSTIN SORVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
7709 110TH PL N, CHAMPLIN, MN 55316-3278
(763) 232-3475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13210
MN
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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