# UNIVERSITY OF MINNESOTA

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

## Provider details

- **NPI number:** 1972864742
- **Authorized official:** DR. PETER ISAAK KARACHUNSKI MD (ASSISTANT PROFESSOR)
- **Authorized official phone:** (612) 626-2499

## Contact information

- **Practice address:** 420 DELAWARE ST SE, MMC 295, MINNEAPOLIS, MN 55455-5001
- **Practice address phone:** (612) 626-2499
- **Practice address fax:** (612) 625-8488
- **Mailing address:** 420 DELAWARE ST SE, MMC 295, MINNEAPOLIS, MN 55455-5001
- **Mailing address phone:** (612) 626-2499
- **Mailing address fax:** (612) 625-8488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 47339 | MN | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012