Group Health Plan INC
NPI #1053466128 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1053466128
- Entity Type
- Organization
- Organization Name
- Group Health Plan INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5100 GAMBLE DR
- Address 2
- STE 100
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-1521
- Phone
- (952) 593-0779
Authorized Official
- Name
- KATHLEEN M COONEY
- Title
- CAO
- Phone
- (952) 883-7565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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