Organization
ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS FRANCIS MCMAHON MD (PRESIDENT)
(612) 444-2347
Entity
Organization
Contact information
Practice address
1655 BEAM AVE, SUITE 108, MAPLEWOOD, MN 55109-1163
(612) 444-3247
(612) 888-9247
Mailing address
1655 BEAM AVE, SUITE 108, MAPLEWOOD, MN 55109-1163
(612) 444-3247
(612) 888-9247
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770900797
—
MN
01
—
1916
PROFESSIONAL FIRM LICENSE
MN
Enumeration date
03/27/2014
Last updated
02/25/2015
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