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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RODERICK DUANE VANSURKSUM, DDS

Active

RODERICK DUANE VANSURKSUM, DDS is a Oral & Maxillofacial Surgery healthcare provider located in MINNETONKA, Minnesota. NPI 1699964320 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · MINNETONKA, MN

Registration Details

NPI Number
1699964320
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2007 (18.787997269945 yrs)
Last Updated
Jun 16, 2021
License
D11417 (MN)

Practice Information

Address
11601 MINNETONKA MILLS RD STE F40
MINNETONKA, MN, 553055189
Browse MN providers · Browse ZIP 55305
Phone
9529358420
Fax
9529350147
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in MINNETONKA, MN

Name Credential NPI
DR. JAMES CARL BLOCK DDS 1841337953
DR. DOUGLAS ALAN CARTER DDS 1376689869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.