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NPI Profile for MICHAEL S BEVAN in MINNEAPOLIS, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI Number | 1629389341 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 06/28/2010 | |
| Last updated | 02/15/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL S BEVAN
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MICHAEL S BEVAN, DPM