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NPI Code Detail

MEDICARE: MR. ROBERT CHARLES VOSS JR.

MEDICARE:  MR. ROBERT CHARLES VOSS JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist113525MN

General Provider Information

NPI Number : 1174847420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT CHARLES VOSS JR.
Provider Business Mailing Address
First Line : 2079 HELMO AVE N
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5215
Country : US
Telephone Number : 651-779-7905
Fax Number :
Provider Business Practice Location Address
First Line : 102 5TH AVE S
Second Line :
City : SOUTH ST PAUL
State : MN
Zip : 55075-2332
Country : US
Telephone Number : 651-455-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2010
Last Update Date : 03/16/2010

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Directions to “ MR. ROBERT CHARLES VOSS JR. ” Practice Location

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