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DR. KARL HAAKON ANDREASEN D.D.S.

Oral and Maxillofacial Pathology

Roseville, Minnesota

Provider NPI: 1912970062

Provider Information:
DR. KARL HAAKON ANDREASEN D.D.S.
Gender: M
Not Sole Proprietor

Practice Location:
1912 LEXINGTON AVE N SUITE 150 ROSEVILLE, MN 55113 US
Tel: 651-636-2420  Fax: 651-636-3199

Business Mailing Address:
1912 LEXINGTON AVE N SUITE 150 ROSEVILLE, MN 55113 US
Tel: 651-636-2420  Fax: 651-636-3199

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0106XDental Providers
Dentist
Oral and Maxillofacial Pathology
MND10904

Other Provider Identifiers:

IssuerNumberStateType
CLINIC NPI1497814032MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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