Pederson, Michael Todd
Pederson, Michael Todd is an individual health care provider with primary practice located at 108 Michigan Avenue West , Walker MN 56484-1389. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pederson, Michael Todd can be contacted via phone (218) 547-1851.Contact Information
Primary practice address
108 Michigan Avenue West
Walker MN 56484-1389
Phone: (218) 547-1851
Fax: (218) 547-2261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11252 | Minnesota |
Profile Details
| NPI number | 1548297039 |
|---|---|
| LBN Legal business name | Pederson, Michael Todd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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