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Organization

MINNESOTA ONCOLOGY HEMATOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN M THOMPSON (SR. ADMINISTRATIVE ASSISTANT)
(651) 602-5266
Entity
Organization

Contact information

Practice address
6363 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2129
(952) 928-2900
(952) 928-2944
Mailing address
6363 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2129
(952) 928-2900
(952) 928-2944

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1076
MN
363AS0400X
Surgical Physician Assistant
1076
MN
364SA2200X
Adult Health Clinical Nurse Specialist
1076
MN

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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