Organization
DAKOTA COUNTY
Active
Other names
Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PETER NELSON (FINANCE MANAGER)
(651) 438-4363
Entity
Organization
Contact information
Practice address
1 MENDOTA RD W, SAINT PAUL, MN 55118-4764
(651) 438-4508
(651) 438-4603
Mailing address
1590 HIGHWAY 55, HASTINGS, MN 55033-2343
(651) 438-4508
(651) 438-4603
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490556300
—
MN
Enumeration date
10/11/2006
Last updated
02/12/2020
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