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Organization
UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION, INC.
Active
Organization
UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION, INC.
Active
Other names
LifeSource
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER DAVID FARSTAD (CHIEF ADMINISTRATIVE OFFICER)
(612) 800-6100
Entity
Organization
Contact information
Practice address
2225 W RIVER RD, MINNEAPOLIS, MN 55411-2228
(612) 800-6100
Mailing address
2225 W RIVER RD, MINNEAPOLIS, MN 55411-2228
(612) 800-6100
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-P001
PALMETTO GBA
MN
Enumeration date
10/13/2021
Last updated
10/13/2021
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