Organization
MINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA
Active
Other names
MNCOME, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GONZALEZ-CAMPOY MD (CEO)
(651) 379-1600
Entity
Organization
Contact information
Practice address
1185 TOWN CENTRE DR, SUITE 220, EAGAN, MN 55123-1187
(651) 379-1600
(651) 379-1650
Mailing address
1185 TOWN CENTRE DR, SUITE 220, EAGAN, MN 55123-1187
(651) 379-1600
(651) 379-1650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1591
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165867H314
UCARE
MN
05
—
410654700
—
MN
01
—
547S0MI
BLUE CROSS BLUE SHIELD
MN
01
—
96386
HEALTHPARTNERS
MN
01
—
C03334
MEDICARE PTAN
MN
01
—
DB4333
RR MEDICARE
MN
Enumeration date
05/23/2006
Last updated
03/05/2026
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