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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
THOMAS P FLYNN MD (PRESIDENT)
(612) 863-8585
Entity
Organization
Contact information
Practice address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432
(763) 786-1620
(763) 780-3099
Mailing address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432
(763) 786-1620
(763) 780-3099
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1076
MN
207RX0202X
Medical Oncology Physician
1076
MN
207VX0201X
Gynecologic Oncology Physician
1076
MN
363L00000X
Nurse Practitioner
1076
MN
Other
Enumeration date
04/21/2009
Last updated
10/07/2010
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