Derek Authier, LMT

NPI 1497151955 · on the registry since 2014 · sole proprietor

Practice

Address: 10705 Town Square Dr Ne
Blaine, MN 55449
Phone: (651) 491-7176
Organisation at this address: Allina Health System
Elevated Health Center
Blaine Lakes Dental, P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-02-27

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