WOODBURY ENDOCRINOLOGY AND DIABETES CLINIC LLC is a medical specialty clinic center in Woodbury, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WOODBURY ENDOCRINOLOGY AND DIABETES CLINIC LLC NPI is 1841964277. The provider is registered as an organization entity type.
The provider's business location address is:
539 BIELENBERG DR STE 120
WOODBURY, MN
ZIP 55125-437
Phone: (612) 425-0958
Fax: (651) 340-4233
The provider's authorized official is Abel Alfonso .
The authorized official title is Ceo and has the following contact phone number (612) 425-0958.
The CLIA number assigned to this NPI record is 24D2257726 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2021 and was last updated on 3/4/2022.