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Contact Information

DOCTORS BY YOUR SIDE
6600 LYNDALE AV S
#120
RICHFIELD, MN55423-3398
 Phone: 612-798-7688
 Fax: 612-869-3473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DOCTORS BY YOUR SIDE

NPI Number 1427352087
LBN Legal business name DOCTORS BY YOUR SIDE
Authorized official BRYAN MOHR - (CEO-OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/22/2010
Last updated 10/07/2014 - About 12 years ago
Identifiers
MN License # 303
MN License # 39791
MN License # 631
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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