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Specialty details in registry · Plymouth, MN
At a glance
1145 Shenandoah Ln N, Plymouth, MN 55447-3201
NPPES record updated Sep 23, 2014. 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
1145 Shenandoah Ln NPlymouth, MN 55447-3201
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 101YA0400X
- Enumeration date
- Sep 23, 2014
- Record updated
- Sep 23, 2014
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101YA0400X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1145 Shenandoah Ln NPlymouth, MN 55447-3201
- Phone
- (612) 596-0100
- Fax
- (612) 321-3807
Mailing address
1911 PLEASANT AVEMINNEAPOLIS, MN 554033506
Information may be outdated or incomplete.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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