Northern Cardiovascular Clinic, PA
Clinic/Center in Edina, MN. Organization (NPI-2).
NPI number1639799323
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1639799323
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Cardiovascular Clinic, PA
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
6565 France Ave S Ste 101Edina, MN 55435-2154
Phone 952-500-0653 · Fax 952-892-0254
Mailing address
6565 France Ave S Ste 101Edina, MN 55435-2154
Phone 952-500-0653 · Fax 952-892-0254
Authorized official
Dominic A Plucinski
President
7632294006
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