Organization · NPI-2

Ih Physician Services 2, PC

Internal Medicine, Hospice and Palliative Medicine · White Bear Lake, MN

NPI number1447162425

StatusActive

Last updated in NPPESSep 22, 2026

Details

NPI: 1447162425
Entity type: Organization (NPI-2)
Legal business name: Ih Physician Services 2, PC
Organization subpart: No
Enumeration date: Sep 22, 2026
Certification date: Sep 21, 2026
Last updated: Sep 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	–	–	Yes

Practice location

3850 Linden Ave
Suite A1
White Bear Lake, MN 55110-4625

Phone 763-326-2996

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601

Phone 704-664-2876

Authorized official

Jennifer Tyler
Vp Of Regulatory Counsel
6784490459

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