Group Health Plan INC
NPI #1275688632 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1275688632
- Entity Type
- Organization
- Organization Name
- Group Health Plan INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1430 HIGHWAY 96 E
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3653
- Phone
- (651) 426-9502
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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