Organization
MINNESOTA COLON & RECTAL SURGICAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L DYKES M.D. (MEDICAL DIRECTOR)
(612) 293-9977
Entity
Organization
Contact information
Practice address
910 E 26TH ST, SUITE 101, MINNEAPOLIS, MN 55404-4526
(612) 293-9977
Mailing address
2355 FAIRVIEW AVE N, SUITE 207, ROSEVILLE, MN 55113-2724
(612) 293-9977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40267
MN
261QM2500X
Medical Specialty Clinic/Center
40267
MN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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