Organization
PILLSBURY UNITED COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY VERNE BROBERG BS (CONTRACT ACCOUNTANT)
(612) 341-1636
Entity
Organization
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-1677
(612) 302-4871
Mailing address
414 S 8TH ST, MINNEAPOLIS, MN 55404-1025
(612) 341-1636
(612) 341-1642
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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