Organization
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN GESME M.D. (PRESIDENT)
(612) 884-6300
Entity
Organization
Contact information
Practice address
6025 LAKE RD, SUITE 110, WOODBURY, MN 55125-1712
(651) 735-7414
(651) 735-1827
Mailing address
6025 LAKE ROAD, SUITE 110, WOODBURY, MN 55125-1709
(651) 735-7414
(651) 735-1827
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1076
MN
170300000X
Genetic Counselor (M.S.)
1076
MN
207R00000X
Internal Medicine Physician
1076
MN
207RH0003X
Hematology & Oncology Physician
Primary
1076
MN
207RX0202X
Medical Oncology Physician
1076
MN
207VX0201X
Gynecologic Oncology Physician
1076
MN
2085R0001X
Radiation Oncology Physician
1076
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1076
MN
363AM0700X
Medical Physician Assistant
1076
MN
363AS0400X
Surgical Physician Assistant
1076
MN
363L00000X
Nurse Practitioner
1076
MN
363LG0600X
Gerontology Nurse Practitioner
1076
MN
364S00000X
Clinical Nurse Specialist
1076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896027500
—
MN
Enumeration date
02/15/2007
Last updated
09/23/2013
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