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Organization

ZANDU HEALTH INITIATIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVE MANDIEKA (PROGRAM DIRECTOR)
(952) 479-0172
Entity
Organization

Contact information

Practice address
10800 LYNDALE AVE S, BLOOMINGTON, MN 55420-5614
(952) 208-5590
(612) 446-5500
Mailing address
10800 LYNDALE AVE S, BLOOMINGTON, MN 55420-5614
(952) 479-0172
(952) 516-5393

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
261Q00000X
Clinic/Center
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
01/08/2017
Last updated
01/29/2025
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