Organization
MINNESOTA LUNG CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEB MAYER (BUSINESS OFFICE MGR.)
(952) 567-7400
Entity
Organization
Contact information
Practice address
920 E 28TH ST, SUITE 700, MINNEAPOLIS, MN 55407-1139
(952) 567-7400
(952) 567-7414
Mailing address
920 E 28TH ST, SUITE 700, MINNEAPOLIS, MN 55407-1139
(952) 567-7400
(952) 567-7414
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410210000
—
MN
01
—
CP2438
RAILROAD MEDICARE GROUP #
MN
Enumeration date
07/05/2006
Last updated
02/26/2015
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