Minnesota Oncology Hematology, PA
in Saint Paul, MN. Organization (NPI-2).
NPI number1770123697
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1770123697
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Oncology Hematology, PA
- Organization subpart
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes |
Practice location
1580 Beam AveSaint Paul, MN 55109-1127
Phone 651-779-7978 · Fax 651-779-7656
Mailing address
2550 University Ave W Ste 110nSaint Paul, MN 55114-2001
Phone 651-602-5335 · Fax 651-665-9799
Authorized official
Joan Louise Theis
Business Office Manager
6516025326
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