Group Health Plan
NPI #1114072071 in Arden Hills, Minnesota
Provider Information
- NPI Number
- 1114072071
- Entity Type
- Organization
- Organization Name
- Group Health Plan
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3930 NORTHWOODS DR
- City
- Arden Hills
- State
- Minnesota
- ZIP Code
- 55112-6963
- Phone
- (651) 490-6775
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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