Organization
SOUTHDALE DIGESTIVE DISEASES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN HENRI TANGHE (MD)
(763) 416-0799
Entity
Organization
Contact information
Practice address
7901 XERXES AVE S, BLOOMINGTON, MN 55431-1253
(952) 920-2453
Mailing address
5705 PARKWOOD LN, EDINA, MN 55436-1731
(763) 416-0799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017877
MN
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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