Organization
MIDWEST IMMUNOLOGY CLINICS, PLLC
Active
Other names
Infusion Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PATRICK RAASCH M.D. (OFFICER)
(763) 577-0008
Entity
Organization
Contact information
Practice address
15655 37TH AVE N STE 250, PLYMOUTH, MN 55446-4000
(763) 316-0750
(616) 954-3410
Mailing address
1726 COLE BLVD STE 250, LAKEWOOD, CO 80401-3262
(855) 478-1528
(720) 465-5040
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454847700
—
MN
01
—
51B54MI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/28/2006
Last updated
01/22/2026
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