# MINNESOTA ONCOLOGY HEMATOLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114430089
- **Authorized official:** PAMELA ANN POST (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (651) 602-5311

## Contact information

- **Practice address:** 6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
- **Practice address phone:** (651) 999-6982
- **Mailing address:** 2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
- **Mailing address phone:** (651) 602-5335
- **Mailing address fax:** (651) 665-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 1076 | MN | Yes |

## Other

- **Enumeration date:** 11/14/2017
- **Last updated:** 11/14/2017
