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Organization

GROUP HEALTH PLAN INC. DBA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN SHERIDAN M.D (PHYSICIAN)
(651) 726-2654
Entity
Organization

Contact information

Practice address
HSC 401 PHALEN BOULEVARD, ST. PAUL, MN 55101
(651) 254-7875
Mailing address
1736 ASHLAND AVE, SAINT PAUL, MN 55104-6159

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34275
MN

Other

Enumeration date
11/08/2006
Last updated
08/22/2020
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