City Of Woodbury

Specialty details in registry · Woodbury, MN

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At a glance

2100 Radio Dr, Woodbury, MN 55125-9598

NPPES record updated Apr 8, 2026. Public records can lag behind changes at a practice.

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Practice location

2100 Radio Dr
Woodbury, MN 55125-9598
Professional details: NPI, taxonomy & registry record
NPI1790855641
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3416L0300X
Enumeration date
Nov 8, 2006
Record updated
Apr 8, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3416L0300X · Primary

License reported: MN-0275 MN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2100 Radio Dr
Woodbury, MN 55125-9598
Phone
(651) 714-3500
Fax
(651) 714-3501
Mailing address
8301 VALLEY CREEK RD

WOODBURY, MN 551252320
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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