Organization
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Active
Other names
Minnesota Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN L THEIS (BUSINESS OFFICE MANAGER)
(651) 602-5326
Entity
Organization
Contact information
Practice address
601 W CHANDLER ST, ARLINGTON, MN 55307-2127
(507) 964-2271
(507) 964-8490
Mailing address
2550 UNIVERSITY AVE W, STE 110 N, SAINT PAUL, MN 55114-1052
(651) 602-5311
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528035995
—
MN
Enumeration date
01/06/2017
Last updated
01/06/2017
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