Michael Julius Weisbrod DDS

NPI 1659571107 - Dentist - 1223G0001X

NPI Details
NPI 1659571107
Gender Male
Enumeration Date 07/23/2007
Last Updated 08/26/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4700 WHITE BEAR PKWY
SAINT PAUL MN, 55110-3336, US
Phone (651) 762-7677
Fax
Business Location
1565 LAUREL AVE
SAINT PAUL MN, 55104-6739, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12470
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According to our database, Michael Julius Weisbrod DDS NPI is 1659571107, taxonomy code is 1223G0001X and license number is D12470, license state is located at Minnesota. Michael Julius Weisbrod DDS physically located at 4700 White Bear Pkwy, Saint Paul MN, 55110-3336. NPI Number Michael Julius Weisbrod DDS has the Individual type.

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1659571107 NPI number is provided on an as is basis without warranty of any kind. 1659571107 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Julius Weisbrod DDS are for informational purposes only.