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John Maclin, LICENSED ALCOHOL DRU

NPI 1447497920 · on the registry since 2009 · sole proprietor

Practice

Address
8500 Edinbrook Parkway #A
Brooklyn Park, MN 55443
Phone
(612) 462-0826
Fax
(763) 777-5685

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-16

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