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Mary Amundson
NPI 1205215159 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1104 W River Rd
Detroit Lakes, MN 56501 - Phone
- (218) 844-6853
- Fax
- (866) 226-6130
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota