Organization
ROSEVILLE INDEPENDENT SCHOOL DISTRICT 623
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TEETZEL (THIRD PARTY BILLING / FINANCE)
(651) 635-1658
Entity
Organization
Contact information
Practice address
1251 COUNTY ROAD B2 W, ROSEVILLE, MN 55113-3205
(651) 635-1600
(651) 628-6441
Mailing address
1251 COUNTY ROAD B2 W, ROSEVILLE, MN 55113-3205
(651) 635-1600
(651) 628-6441
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
251300000X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041607000
—
MN
Enumeration date
11/14/2006
Last updated
11/25/2019
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