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David Bruce Neitzel Lynum
Student in an Organized Health Care Education/Training Program in Rosemount, Minnesota
NPI 1255913760

David Bruce Neitzel Lynum is a Student in an Organized Health Care Education/Training Program based in Apple Valley, MN. David Bruce Neitzel Lynum practices in Rosemount, MN. The NPI Number for David Bruce Neitzel Lynum is 1255913760 and holds a License No. (Minnesota).

The current practice location address for David Bruce Neitzel Lynum is 15265 Carrousel Way, Rosemount, MN and can be reached out via phone at 952-443-4600.

Location: 15265 Carrousel Way, Rosemount, MN, 55124-6377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255913760
Provider Name
David Bruce Neitzel Lynum
Credential
Provider Entity Type
Individual
Gender
Male
Address
15265 Carrousel Way, Rosemount, MN, 55124-6377
Phone Number
952-443-4600
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15265 Carrousel Way
City
Rosemount
State
Minnesota
Zip
55068-1760
Phone Number
952-443-4600
Fax Number
person
Provider Business Mailing Address Details
Address
15265 Carrousel Way
City
Rosemount
State
Minnesota
Zip
55068-1760
Phone Number
952-443-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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