Organization
MINNEAPOLIS RADIATION ONCOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JEANNE PFOSER (CFO)
(952) 920-4915
Entity
Organization
Contact information
Practice address
7401 METRO BLVD STE 210, EDINA, MN 55439
(952) 920-4915
(952) 915-6091
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
951
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102376
UCARE
MN
01
—
11640MI
BLUE CROSS/BLUE SHIELD
MN
01
—
24-0004
MEDICA PRIMARY
MN
05
—
32721200
—
WI
05
—
805212300
—
MN
Enumeration date
09/02/2005
Last updated
11/28/2023
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