Southdale Medical Partners Corporation

NPI #1043898778 in Oakdale, Minnesota

Provider Information

NPI Number
1043898778
Entity Type
Organization
Organization Name
Southdale Medical Partners Corporation
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Apr 1, 2021
Last Updated
May 3, 2023

Practice Location

Address
902 INWOOD AVE N STE 902
ZIP Code
55128-6625
Phone
(952) 999-4049

Authorized Official

Name
MITCHELL PAUL BRANDT
Title
ADMINISTRATOR
Phone
(612) 961-4322

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - Primary CarePrimary Care

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