Organization
MINNEAPOLIS VASCULAR PHYSICIANS
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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