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Organization
INTEGRATIVE IMMUNITY HEALTH SYSTEM PC
Active
Organization
INTEGRATIVE IMMUNITY HEALTH SYSTEM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENOIT D TANO MD (MD/OWNER)
(952) 222-3879
Entity
Organization
Contact information
Practice address
3939 W 69TH ST UNIT B, EDINA, MN 55435-2001
(952) 222-3879
(952) 222-3919
Mailing address
625 W 18TH ST STE 100, SIOUX FALLS, SD 57105-0602
(952) 222-3879
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
56126
MN
Other
Enumeration date
10/06/2015
Last updated
09/20/2022
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