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Organization
GREATER MINNESOTA ALLERGY AND ASTHMA
Active
Organization
GREATER MINNESOTA ALLERGY AND ASTHMA
Active
Other names
Greater Minnesota Allergy and Asthma, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINTO K PORTER MD (OWNER)
(320) 654-8266
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Mailing address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
02/06/2025
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