Minnesota Oncology Hematology PA

NPI #1629387303 in Coon Rapids, Minnesota

Provider Information

NPI Number
1629387303
Entity Type
Organization
Organization Name
Minnesota Oncology Hematology PA
Primary Specialty
Clinic/Center - Oncology, Radiation
Enumeration Date
Sep 29, 2010
Last Updated
Sep 29, 2010

Practice Location

Address
3960 COON RAPIDS BLVD NW
Address 2
# 311
ZIP Code
55433-2569
Phone
(763) 236-9090

Authorized Official

Name
RANDALL THOMPSON
Title
CEO
Phone
(651) 602-5365

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oncology, RadiationOncology, Radiation

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