Organization
SUMMIT ORTHOPEDICS, LTD.
Active
Other names
Minnesota Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BIEN (CFO)
(651) 968-5870
Entity
Organization
Contact information
Practice address
1661 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-7633
(651) 968-5300
(651) 646-0205
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02163
MEDICARE PTAN
MN
Enumeration date
01/16/2007
Last updated
05/10/2024
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