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DR. DAVID R. DARE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1659710291

Individual Registrant:
DR. DAVID R. DARE M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
301 2ND ST NE  NEW PRAGUE, MN 56071-1709 US
Tel: 952-758-4431  Fax: --

Contact information for business:
7600 LYNDALE AVE S APT 318  RICHFIELD, MN 55423-4164 US
Tel: --  Fax: --

Registration Information:
NPI: 1659710291
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN61440
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MN61440
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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