Organization
OPTUM MEDICAL SERVICES OF CALIFORNIA, P.C.
Active
Organization
OPTUM MEDICAL SERVICES OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A MITTELBERGER M.D. (PRESIDENT)
(612) 632-5372
Entity
Organization
Contact information
Practice address
13625 TECHNOLOGY DR, EDEN PRAIRIE, MN 55344-2252
(615) 224-5440
Mailing address
13625 TECHNOLOGY DR, EDEN PRAIRIE, MN 55344-2252
(615) 224-5440
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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