Organization
GROUP HEALTH PLAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RANK M.D. (MEDICAL DIRECTOR)
(952) 883-7124
Entity
Organization
Contact information
Practice address
401 PHALEN BLVD MSC 41103F, SAINT PAUL, MN 55101-5302
(651) 254-7600
(651) 254-7623
Mailing address
1115 PAUL PKWY NE APT 316, BLAINE, MN 55434-3971
(612) 423-3004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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