Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DERUITER PHD (PROGRAM DIRECTOR)
(612) 624-3322
Entity
Organization
Contact information
Practice address
164 PILLSBURY DR SE, MINNEAPOLIS, MN 55455-0279
(612) 624-3322
(612) 624-7586
Mailing address
164 PILLSBURY DR SE, MINNEAPOLIS, MN 55455-0279
(612) 624-3322
(612) 624-7586
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5987
MN
235Z00000X
Speech-Language Pathologist
5987
MN
Other
Enumeration date
09/12/2007
Last updated
06/19/2008
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