Organization
MINNEAPOLIS VASCULAR PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA G. NORBY (EXECUTIVE ASSISTANT/CREDENTIALING)
(763) 398-2203
Entity
Organization
Contact information
Practice address
2800 CAMPUS DRIVE, SUITE 10, PLYMOUTH, MN 55441-2645
(763) 398-2203
(763) 398-2233
Mailing address
2800 CAMPUS DRIVE, SUITE 10, PLYMOUTH, MN 55441-2645
(763) 398-2203
(763) 398-2233
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8587602
MINNESOTA TAX ID NUMBER
MN
Enumeration date
02/07/2007
Last updated
12/30/2008
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