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Organization
ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC
Active
Organization
ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS FRANCIS MCMAHON MD (PRESIDENT)
(612) 444-2347
Entity
Organization
Contact information
Practice address
1655 BEAM AVE, SUITE 108, MAPLEWOOD, MN 55109-1163
(612) 444-3247
(612) 888-9247
Mailing address
1655 BEAM AVE, SUITE 108, MAPLEWOOD, MN 55109-1163
(612) 444-3247
(612) 888-9247
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770900797
—
MN
01
—
1916
PROFESSIONAL FIRM LICENSE
MN
Enumeration date
03/27/2014
Last updated
02/25/2015
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