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1487838918
SOUTHDALE DIGESTIVE DISEASES, PA
BLOOMINGTON, MN
NPI
1487838918
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Entity Type
Organization
Authorized Contact
JAN HENRI TANGHE
Md
763-416-0799
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 017877)
Enumeration Date
2007-12-19
Last Update Date
2007-12-19
Business Address
SOUTHDALE DIGESTIVE DISEASES, PA
7901 XERXES AVE S
BLOOMINGTON, MN 55431-1253
Phone number: 952-920-2453
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Mailing Address
SOUTHDALE DIGESTIVE DISEASES, PA
5705 PARKWOOD LN
EDINA, MN 55436-1731
Phone number: 763-416-0799
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