Organization
COLON & RECTAL SURGERY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL SPENCER MD (PRESIDENT CEO)
(651) 312-1500
Entity
Organization
Contact information
Practice address
3433 BROADWAY ST NE, SUITE 115, MINNEAPOLIS, MN 55413-1740
(651) 312-1500
(651) 312-1570
Mailing address
3433 BROADWAY ST NE, SUITE 115, MINNEAPOLIS, MN 55413-1740
(651) 312-1500
(651) 312-1570
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
567
MN
Other
Enumeration date
05/18/2006
Last updated
11/08/2018
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