Riverside Urology, LLC

NPI #1518922160 in Minneapolis, Minnesota

Provider Information

NPI Number: 1518922160
Entity Type: Organization
Organization Name: Riverside Urology, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 18, 2006
Last Updated: Jul 1, 2009

Practice Location

Address: 606 24TH AVE S
City: Minneapolis
State: Minnesota
ZIP Code: 55454-1455
Phone: (612) 672-2525

Authorized Official

Name: DR. IRVING D THORNE, M.D.
Title: PARTNER
Phone: (612) 672-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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