Organization
HEALTHSOURCE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD T BOYLE (CEO)
(763) 287-0740
Entity
Organization
Contact information
Practice address
10159 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305-1504
(763) 287-0740
(763) 287-0789
Mailing address
10159 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305-1504
(763) 287-0740
(763) 287-0789
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
MN
261QC1800X
Corporate Health Clinic/Center
—
MN
261QH0100X
Health Service Clinic/Center
—
MN
Other
Enumeration date
11/11/2010
Last updated
07/08/2011
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