Search › Minnesota › 2085R0202X
Tore Detlie, M.D
NPI 1841240686 · on the registry since 2006
Practice
- Address
- 918 Demont Ave E
Maplewood, MN 55109 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
- Licence states on file
- MN, NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-19
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