Organization
UNIVERSITY OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANTON (FELLOWSHIP COORDINATOR)
(612) 626-9943
Entity
Organization
Contact information
Practice address
420 DELAWARE STREET SE, MAYO MAIL CODE 293, MINNEAPOLIS, MN 55455
(612) 625-7634
(612) 624-0150
Mailing address
2210 PASCAL ST, APT 202, ROSEVILLE, MN 55113-5839
(612) 702-8082
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
MN
Enumeration date
04/29/2008
Last updated
04/29/2008
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