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Organization

METROPOLITAN INTERNISTS, PA

Active
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Organization

METROPOLITAN INTERNISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN E MEYERS (MANAGER ADMINISTRATOR)
(612) 339-7171
Entity
Organization

Contact information

Practice address
825 S 8TH ST, SUITE #600 PARKSIDE PROF BLDG, MINNEAPOLIS, MN 55404-1208
(612) 339-7171
(612) 339-2885
Mailing address
825 S 8TH ST, SUITE #600 PARKSIDE PROF BLDG, MINNEAPOLIS, MN 55404-1208
(612) 339-7171
(612) 339-2885

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11168ME
BLUE CROSS BLUE SHIELD
MN
01
—
207RG0100X
TAXONOMY
MN
01
—
CP8684
RR MEDICARE
MN
Enumeration date
03/20/2007
Last updated
04/14/2008
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