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Organization

NORTH SUBURBAN HEALTHCARE PA

Active
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Organization

NORTH SUBURBAN HEALTHCARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD RAY TOLLEFSON DC (OWNER)
(763) 754-2573
Entity
Organization

Contact information

Practice address
8171 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1865
(763) 754-2573
(763) 754-0128
Mailing address
8171 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1865
(763) 754-2573
(763) 754-0128

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2478
MN

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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