Organization
HISTOPATHOMETRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH PARKS MD, PHD (MANAGER)
(651) 334-6225
Entity
Organization
Contact information
Practice address
750 MAIN ST, SUITE 100, MENDOTA HEIGHTS, MN 55118-3764
(651) 334-6225
Mailing address
2282 FIELD STONE DR, MENDOTA HEIGHTS, MN 55120-1918
(651) 334-6225
(651) 405-3850
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
35485
MN
Other
Enumeration date
02/01/2013
Last updated
08/09/2013
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