Organization
MINNESOTA MEDICAL SCANNING CORPORATION
Active
Other names
Center for Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D JACOBSEN (OFFICER ON THE BOARD SECRETARY)
(952) 543-6500
Entity
Organization
Contact information
Practice address
1860 BEAM AVENUE, MAPLEWOOD, MN 55109
(651) 748-8226
(651) 748-2864
Mailing address
PO BOX 1450, NW5075, MINNEAPOLIS, MN 55485-5075
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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