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Individual

MICHAEL D ENGLAND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1973 SLOAN PL, MAPLEWOOD, MN 55117-2084
(651) 224-1347
(651) 855-0126
Mailing address
1973 SLOAN PL, MAPLEWOOD, MN 55117-2094
(651) 224-1347
(651) 855-0126

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30917
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-00301
MEDICA
MN
01
32189600
WISCONSIN MEDICAID
MN
01
5T718EN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/05/2006
Last updated
07/08/2007
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