Organization
WOODBURY ENDOCRINOLOGY AND DIABETES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABEL ALFONSO DO (CEO)
(612) 425-0958
Entity
Organization
Contact information
Practice address
539 BIELENBERG DR STE 120, WOODBURY, MN 55125-4437
(612) 425-0958
(651) 340-4233
Mailing address
539 BIELENBERG DR STE 120, WOODBURY, MN 55125-4437
(612) 425-0958
(651) 340-4233
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
03/04/2022
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