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Contact Information

MINNEAPOLIS RADIATION ONCOLOGY PA
7401 METRO BLVD STE 210
EDINA, MN55439
 Phone: 952-920-4915
 Fax: 952-915-6091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MINNEAPOLIS RADIATION ONCOLOGY PA · (Female)

NPI # 1043204233
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2005
Last updated 11/28/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 951
  • MN Medicaid 805212300
  • WI Medicaid 32721200
  • MN Other 11640MI BLUE CROSS/BLUE SHIELD
  • MN Other 24-0004 MEDICA PRIMARY
  • MN Other 102376 UCARE
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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