Organization
INDEPENDENT SCHOOL DISTRICT 879
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SWEET DOCTOR (SUPERINTENDENT)
(763) 972-3365
Entity
Organization
Contact information
Practice address
700 ELM AVE E, DELANO, MN 55328-8236
(763) 972-3365
(763) 972-6706
Mailing address
700 ELM AVE E, DELANO, MN 55328-8236
(763) 972-3365
(763) 972-6706
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36247200
MEDICAL ASSISTANCE
MN
Enumeration date
11/30/2006
Last updated
06/19/2008
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