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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

NPI # 1043204233
LBN Legal business name MINNEAPOLIS RADIATION ONCOLOGY PA
Authorized official PATRICIA PFOSER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2005
Last updated 11/28/2023 - About 3 years ago
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
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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