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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
University of Minnesota Special HealthCare Needs Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
ANGELA M ERICKSON (CREDENTIALING COORDINATOR)
(612) 626-4232
Entity
Organization

Contact information

Practice address
515 DELAWARE ST SE FL 6, MINNEAPOLIS, MN 55455-0357
(612) 625-4777
Mailing address
515 DELAWARE ST SE, 7-521 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-4777

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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