Organization
MID-MINNESOTA RADIATION ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E HASELOW MD (PRESIDENT)
(952) 920-4915
Entity
Organization
Contact information
Practice address
6950 FRANCE AVE S, #200, EDINA, MN 55435-2008
(952) 920-4915
(952) 915-6091
Mailing address
6950 FRANCE AVE S, #200, EDINA, MN 55435-2008
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050322300
—
MN
Enumeration date
09/02/2005
Last updated
10/20/2010
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