Organization
GROUP HEALTHPLAN INC
Active
Other names
HealthPartners White Bear Lake Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L BJORKMAN (DIRECTOR)
(952) 883-7469
Entity
Organization
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110
(952) 883-7469
(952) 883-5395
Mailing address
8170 33RD AVE S, PO BOX 1309, BLOOMINGTON, MN 55425-4516
(952) 883-7469
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8600490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400512117
—
MN
Enumeration date
12/11/2006
Last updated
07/23/2018
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