Organization
HENNEPIN FACULTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY FOSBURY (PRESIDENT)
(612) 347-5954
Entity
Organization
Contact information
Practice address
914 S 8TH ST, S600, MINNEAPOLIS, MN 55404-1210
(612) 347-5954
Mailing address
914 S 8TH ST, S600, MINNEAPOLIS, MN 55404-1210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
09/24/2008
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