Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TEICHROEW (BUSINESS OFFICE MANAGER)
(651) 602-5360
Entity
Organization
Contact information
Practice address
2550 UNIVERSITY AVE W STE 105N, SAINT PAUL, MN 55114-1052
(651) 602-5335
(651) 414-3101
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-8693
(651) 602-5335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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