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Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WALKER (CREDENTIALING COORDINATOR)
(651) 602-5309
Entity
Organization
Contact information
Practice address
2651 HILLCREST DR STE 105, HUDSON, WI 54016-4439
(844) 317-4673
Mailing address
2250 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-1801
(651) 602-5309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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