Organization
MADELINE GARTNER SURGERY PLLC
Active
Other names
Breast HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE HALLIE GARTNER M.D. (OWNER)
(763) 473-1480
Entity
Organization
Contact information
Practice address
2805 CAMPUS DR, SUITE 405, PLYMOUTH, MN 55441-2676
(763) 473-1480
(763) 473-1998
Mailing address
2805 CAMPUS DR, SUITE 405, PLYMOUTH, MN 55441-2676
(763) 473-1480
(763) 473-1998
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116634
HEALTHPARTNERS
MN
01
—
131146
UCARE
MN
01
—
86G16MA
BLUECROSS
MN
Enumeration date
06/03/2006
Last updated
11/27/2007
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