Organization
GROUP HEALTHPLAN INC
Active
Other names
HealthPartners TMD clinics
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY CERMAK (CFO)
(952) 883-7914
Entity
Organization
Contact information
Practice address
8515 EAGLE POINT BLVD STE 200, LAKE ELMO, MN 55042-8624
(651) 523-9951
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-7469
(953) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
12/31/2024
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