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Contact Information

NORTH CENTRAL PATHOLOGY, P.A.
3701 12TH ST N
SUITE 201
SAINT CLOUD, MN56303-2255
 Phone: 320-253-6554
 Fax: 320-253-1218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTH CENTRAL PATHOLOGY PA · (Female)

NPI Number 1316278641
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2010
Last updated 01/27/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 33302
  • MN Medicaid 729565100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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