| NPI | 1225751845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WALKER Credentialing Coordinator 651-602-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 170300000X Genetic Counselor, MS | |
| 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 | 2022-09-20 |
| Last Update Date | 2022-09-20 |