North Urology, Ltd.

NPI #1730205113 in Robbinsdale, Minnesota

Provider Information

NPI Number
1730205113
Entity Type
Organization
Organization Name
North Urology, Ltd.
Primary Specialty
Urology
Enumeration Date
Mar 21, 2007
Last Updated
Nov 14, 2008

Practice Location

Address
4080 W BROADWAY AVE
Address 2
SUITE #310
ZIP Code
55422-5604
Phone
(763) 520-5888

Authorized Official

Name
MR. RAYMOND ALLEN HACKETT, M.D.
Title
PRESIDENT
Phone
(763) 520-5888

Specialties & Taxonomy Codes

Specialty
Urology

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