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Organization

MINNESOTA ONCOLOGY HEMATOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE WALKER (CREDENTIALING COORDINATOR)
(651) 602-5309
Entity
Organization

Contact information

Practice address
11850 BLACKFOOT ST NW STE 270, COON RAPIDS, MN 55433-2593
(651) 312-1717
(763) 515-2632
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-8693
(651) 602-5309

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary

Other

Enumeration date
07/08/2025
Last updated
07/08/2025
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