Organization
RIVERSIDE UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING D THORNE M.D. (PARTNER)
(612) 672-2525
Entity
Organization
Contact information
Practice address
606 24TH AVE S, MINNEAPOLIS, MN 55454-1455
(612) 672-2525
(612) 672-2970
Mailing address
7801 E BUSH LAKE RD, #320, MINNEAPOLIS, MN 55439-3120
(952) 831-5773
(952) 831-7224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1594
MN
Other
Enumeration date
04/18/2006
Last updated
07/01/2009
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