Organization
THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A.
Active
Organization
THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDLE S CORFMAN PH.D, M.D. (MEDICAL DIRECTOR/OWNER)
(763) 494-7700
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N, SUITE 350, MAPLE GROVE, MN 55369-7073
(763) 494-7700
(763) 494-7706
Mailing address
12000 ELM CREEK BLVD N, SUITE 350, MAPLE GROVE, MN 55369-7073
(763) 494-7700
(763) 494-7706
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
207VE0102X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3D491MI
BCBS-MN PROVIDER FACILITY
MN
01
—
3D492
BCBS-MN PROVIDER
MN
01
—
COR16153
BCBS-ND PROVIDER
MN
01
—
COR16154
BCBS-ND PROVIDER
MN
01
—
E02458
UPIN
MN
Enumeration date
08/06/2009
Last updated
08/06/2009
Update your record
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