# MINNESOTA ONCOLOGY HEMATOLOGY, PA

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

## Provider details

- **NPI number:** 1376686774
- **Authorized official:** DR. DEAN GESME M.D. (PRESIDENT)
- **Authorized official phone:** (612) 884-6300

## Contact information

- **Practice address:** 1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
- **Practice address phone:** (651) 779-7978
- **Practice address fax:** (651) 779-7656
- **Mailing address:** 1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
- **Mailing address phone:** (651) 779-7978
- **Mailing address fax:** (651) 779-7656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 1076 | MN | — |
| 170300000X | Genetic Counselor (M.S.) | 1076 | MN | — |
| 207R00000X | Internal Medicine Physician | 1076 | MN | — |
| 207RH0003X | Hematology & Oncology Physician | 1076 | MN | Yes |
| 207RX0202X | Medical Oncology Physician | 1076 | MN | — |
| 207VX0201X | Gynecologic Oncology Physician | 1076 | MN | — |
| 2085R0001X | Radiation Oncology Physician | 1076 | MN | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 1076 | MN | — |
| 363AM0700X | Medical Physician Assistant | 1076 | MN | — |
| 363AS0400X | Surgical Physician Assistant | 1076 | MN | — |
| 363L00000X | Nurse Practitioner | 1076 | MN | — |
| 364S00000X | Clinical Nurse Specialist | 1076 | MN | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 09/20/2013