Organization
SOUTHDALE ALLERGY AND ASTHMA CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE SCHINDELDECKER (OFFICE MANAGER)
(952) 926-7630
Entity
Organization
Contact information
Practice address
4010 W 65TH ST, #221, MINNEAPOLIS, MN 55435-1721
(952) 926-7630
(952) 926-2116
Mailing address
4010 W 65TH ST, #221, MINNEAPOLIS, MN 55435-1721
(952) 926-7630
(952) 926-2116
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
23905
MN
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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