Organization
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ANN POST (CREDENTIALING COORDINATOR)
(651) 602-5311
Entity
Organization
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6982
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5335
(651) 665-9799
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1076
MN
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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