Organization
MIDWEST INSTITUTE OF UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE ERNEST LUNDBLAD (OWNER)
(952) 922-2000
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S, SUITE 660, EDINA, MN 55435-1805
(952) 922-2000
(952) 920-7739
Mailing address
6600 FRANCE AVE S, SUITE 660, EDINA, MN 55435-1805
(952) 922-2000
(952) 920-7739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35744
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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