Organization
NORTHSTAR RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON S KREMSKY M.D. (OWNER/REGISTERED AGENT)
(651) 797-3866
Entity
Organization
Contact information
Practice address
485 ARUNDEL ST, SAINT PAUL, MN 55103-1931
(651) 797-3866
Mailing address
485 ARUNDEL ST, SAINT PAUL, MN 55103-1931
(651) 797-3866
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
58379
MN
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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