Organization
MID-MINNESOTA NEUROLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH K. DANG M.D. (CEO/OWNER)
(763) 497-9906
Entity
Organization
Contact information
Practice address
206 PINE ST, MONTICELLO, MN 55362-8665
(763) 295-3844
Mailing address
13985 OAKWOOD CT NE, SAINT MICHAEL, MN 55376-4514
(763) 497-9906
(763) 497-9906
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
37961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500702
MEDICA
—
05
—
2065185
—
MN
01
—
362G7MI
BCBS
—
01
—
785177
AMERICA'S PPO
—
01
—
J254
UCARE
—
Enumeration date
10/03/2006
Last updated
08/22/2020
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