Individual
DAVID M EDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
2501 RICELAKE RD, DULUTH, MN 55811
(218) 625-6777
Mailing address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A670
MN
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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