| NPI | 1205606316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TEICHROEW Business Office Manager 651-602-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0000X Internal Medicine, Hematology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |