Organization
GROUP HEALTH PLAN INC.
Active
Other names
HealthPartners West Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BJORKMAN (DIRECTOR)
(952) 883-7469
Entity
Organization
Contact information
Practice address
1665 UTICA AVENUE SOUTH, SUITE 100, ST LOUIS PARK, MN 55416-1521
(952) 967-7720
(952) 541-2539
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-7469
(952) 853-8727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8600490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400512103
—
MN
Enumeration date
12/13/2006
Last updated
08/16/2023
About Stedi
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