Organization
UBAH MEDICAL ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE P. CARLSON (DIRECTOR OF SPECIAL EDUCATION)
(612) 824-1737
Entity
Organization
Contact information
Practice address
1600 MAIN STREET, HOPKINS, MN 55343
(952) 540-2942
Mailing address
1600 MAIN STREET, HOPKINS, MN 55343
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
02/11/2015
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