Organization
DIAMOND WOMEN'S CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. 0PATRICIA A BURGRAFF MHA (ADMINISTRATOR)
(952) 928-3677
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 540, EDINA, MN 55435-2131
(952) 927-4045
(952) 924-4133
Mailing address
6545 FRANCE AVE S, SUITE 540, EDINA, MN 55435-2131
(952) 927-4045
(952) 924-4133
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03451DI
BCBS PROVIDER #
MN
01
—
103752
UCARE CLINIC PROVIDER #
MN
01
—
806
HEALTPARTNERS PROV #
MN
01
—
CP4302
MEDICARE RR PALMETTO #
MN
01
—
FP100
PREFFERED ONE PROVIDER #
MN
Enumeration date
10/10/2006
Last updated
08/22/2020
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