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Organization

ANODYNE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JOSEPH MARZOLF JR. (PRESIDENT/CEO)
(952) 546-5334
Entity
Organization

Contact information

Practice address
6024 BLUE CIRCLE DR, MINNETONKA, MN 55343-9104
(952) 546-5334
(952) 546-2657
Mailing address
6024 BLUE CIRCLE DR, MINNETONKA, MN 55343-9104
(952) 546-5334
(952) 546-2657

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0987065
IA
01
1040355
PREFERREDONE
MN
01
104225
UCARE
MN
01
106040400
ACS FEDERAL WORKERS COMP
01
130869
HENNEPIN COUNTY WAIVERED
MN
01
1411901281
PRIME WEST
MN
01
39026
WAUSAU BENEFITS
01
403363900
MN COUNTY WAIVERED SVCS.
MN
05
403363900
MN
05
41682300
WI
01
52190
SPECIALTY RISK SERVICES
MN
01
59255AN
BLUE CROSS BLUE SHIELD MN
MN
01
76185C001
CHAMPUS
01
773232
AMERICA'S PPO
MN
01
8200161
MEDICA MSHO
MN
Enumeration date
04/12/2006
Last updated
08/29/2022
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