Organization
DIALYSIS ACCESS OF MINNESOTA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R GRAY M.D. (PRESIDENT)
(763) 561-5349
Entity
Organization
Contact information
Practice address
600 COUNTY ROAD D W, NEW BRIGHTON, MN 55112-3519
(763) 561-5349
(763) 561-6280
Mailing address
6200 SHINGLE CREEK PKWY, SUITE 300, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
(763) 561-6280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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