Organization
VISANA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICHAEL CONNOLLY (CEO)
(402) 659-4020
Entity
Organization
Contact information
Practice address
3524 HENNEPIN AVE APT 3, MINNEAPOLIS, MN 55408-3855
(402) 659-4020
Mailing address
3524 HENNEPIN AVE APT 3, MINNEAPOLIS, MN 55408-3855
(402) 659-4020
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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