Medstudio, PLLC
General Practice in Minnetonka, MN. Organization (NPI-2).
NPI number1336677483
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1336677483
- Entity type
- Organization (NPI-2)
- Legal business name
- Medstudio, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
130 Cheshire Ln Ste 100Minnetonka, MN 55305-1053
Phone 952-807-0415
Mailing address
Po Box 308Forest Lake, MN 55025-0308
Phone 952-807-0415
Other practice locations
7591 9th St N Ste 100
Oakdale, MN 55128-6626
Oakdale, MN 55128-6626
Phone 952-807-0415
Authorized official
Robert Sieman
Owner
9528070415
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