# MINNESOTA ONCOLOGY HEMATOLOGY, PA

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

## Provider details

- **NPI number:** 1356585442
- **Authorized official:** THOMAS P FLYNN MD (PRESIDENT)
- **Authorized official phone:** (612) 863-8585

## Contact information

- **Practice address:** 480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432
- **Practice address phone:** (763) 786-1620
- **Practice address fax:** (763) 780-3099
- **Mailing address:** 480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432
- **Mailing address phone:** (763) 786-1620
- **Mailing address fax:** (763) 780-3099

## Taxonomy

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