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Organization

MINNESOTA STATE COLLEGES AND UNIVERSITIES

Active
Parent organization
MINNESOTA STATE UNIVERSITY
Other names
Minnesota State University, Mankato
Organization subpart
Yes

Provider details

NPI number
Legal business name
MINNESOTA STATE UNIVERSITY
Authorized official
MEGAN MAHOWALD PH.D. CCC-SLP (DEPART CHAIR)
(507) 389-1415
Entity
Organization

Contact information

Practice address
150 SOUTH RD, 116 CLINICAL SCIENCES BUILDING, MANKATO, MN 56001-7046
(507) 389-6298
(507) 389-2821
Mailing address
150 SOUTH RD, 317 CLINICAL SCIENCES BUILDING, MANKATO, MN 56001-7046
(507) 389-1414
(507) 389-2821

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/21/2019
Last updated
10/24/2019
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