Organization
UNIVERSITY OF MINNESOTA PHYSICIANS
Active
Other names
M Physicians Broadway Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SIBERT (CFO)
(312) 560-5317
Entity
Organization
Contact information
Practice address
2426 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1735
(612) 302-8200
(612) 302-8275
Mailing address
720 WASHINGTON AVE SE STE 200, MINNEAPOLIS, MN 55414-2924
(612) 884-0600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701372800
—
MN
Enumeration date
01/31/2007
Last updated
12/04/2024
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