# MINNESOTA VASCULAR MEDICINE AND BIRTHMARK CENTER

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

## Provider details

- **NPI number:** 1932361565
- **Authorized official:** MRS. CHRISTINA DELFANIAN (OFFICE MANAGER)
- **Authorized official phone:** (952) 892-3308

## Contact information

- **Practice address:** 14050 NICOLLET AVE, SUITE 202, BURNSVILLE, MN 55337-5710
- **Practice address phone:** (952) 892-3308
- **Mailing address:** 14050 NICOLLET AVE, SUITE 202, BURNSVILLE, MN 55337-5710
- **Mailing address phone:** (952) 892-3308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 41861 | MN | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 06/25/2008