Physical And Occupational Medicine Associates, PA
Clinic/Center, Medical Specialty in St Louis Park, MN. Organization (NPI-2).
NPI number1023070554
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023070554
- Entity type
- Organization (NPI-2)
- Legal business name
- Physical And Occupational Medicine Associates, PA
- Organization subpart
- No
- Enumeration date
- Apr 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 28205 | MN | Yes |
Practice location
3601 Park Center BlvdSuite 311
St Louis Park, MN 55416-2531
Phone 952-922-2012 · Fax 952-922-2013
Mailing address
3601 Park Center BlvdSuite 311
St Louis Park, MN 55416-2531
Phone 952-922-2012 · Fax 952-922-2913
Authorized official
John Galin Sandness
President
9529222012
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