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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Cleft Palate Craniofacial Anomalies Clinics
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
DR. GARY CARL ANDERSON DDS (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 626-6529
Entity
Organization

Contact information

Practice address
515 DELAWARE ST SE, 6-296 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-5945
Mailing address
515 DELAWARE ST SE, 7-530 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-5945

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-09573
MEDICA
MN
01
1022170
PREFERRED ONE
MN
01
126084
UCARE MN
MN
Enumeration date
03/26/2007
Last updated
12/21/2016
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