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MINNESOTA ONCOLOGY HEMATOLOGY PA

Organization (NPI-2) Active

Internal Medicine, Hematology & Oncology

Provider Information

NPI Number
1235498619
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2805 CAMPUS DR SUITE 105, PLYMOUTH, MN, 554412676
Phone
(763) 519-7440
Fax
(763) 519-7445

Specialties & Taxonomies

Dietitian, Registered License: MN #1076
Genetic Counselor, MS License: MN #1076
Internal Medicine License: MN #1076
Internal Medicine, Medical Oncology License: MN #1076
Obstetrics & Gynecology, Gynecologic Oncology License: MN #1076
Unknown
Thoracic Surgery (Cardiothoracic Vascular Surgery) License: MN #1076
Physician Assistant, Medical License: MN #1076
Physician Assistant, Surgical License: MN #1076
Nurse Practitioner License: MN #1076
Clinical Nurse Specialist License: MN #1076
Internal Medicine, Hematology & Oncology Primary License: MN #1076

All Addresses

MAILING

2805 CAMPUS DR SUITE 105

PLYMOUTH, MN, 554412676

(763) 519-7440

LOCATION

2805 CAMPUS DR SUITE 105

PLYMOUTH, MN, 554412676

(763) 519-7440