Organization
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN LOUISE THEIS (BUSINESS OFFICE MANAGER)
(651) 602-5326
Entity
Organization
Contact information
Practice address
1580 BEAM AVE, SAINT PAUL, MN 55109-1127
(651) 779-7978
(651) 779-7656
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5335
(651) 665-9799
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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