Organization
GREATER MINNESOTA ALLERGY AND ASTHMA
Active
Other names
Greater Minnesota Allergy and Asthma, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINTO K PORTER MD (OWNER)
(320) 654-8266
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Mailing address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
02/06/2025
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