Organization
MINNESOTA INTERNSHIP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BYRNE (EXECUTIVE DIRECTOR)
(612) 414-4486
Entity
Organization
Contact information
Practice address
2507 FREMONT AVE N, MINNEAPOLIS, MN 55411-2078
(612) 588-1449
Mailing address
2507 FREMONT AVE N, MINNEAPOLIS, MN 55411-2078
(612) 588-1449
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Enumeration date
05/11/2016
Last updated
07/21/2022
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