Dialysis Access of Minnesota, L.l.c.
NPI #1669512042 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1669512042
- Entity Type
- Organization
- Organization Name
- Dialysis Access of Minnesota, L.l.c.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 600 COUNTY ROAD D W
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-3519
- Phone
- (763) 561-5349
Authorized Official
- Name
- DR. JOHN R GRAY, M.D.
- Title
- PRESIDENT
- Phone
- (763) 561-5349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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