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Specialty details in registry · Bloomington, MN
At a glance
1901 W 80 1/2 St Unit 432, Bloomington, MN 55431-5108
NPPES record updated Feb 25, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1901 W 80 1/2 St Unit 432Bloomington, MN 55431-5108
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251E00000X
- Enumeration date
- Feb 25, 2025
- Record updated
- Feb 25, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251E00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1901 W 80 1/2 St Unit 432Bloomington, MN 55431-5108
- Phone
- (612) 599-3313
Mailing address
1901 W 80 1/2 ST UNIT 432BLOOMINGTON, MN 554315108
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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