MINNESOTA ONCOLOGY HEMATOLOGY PA NPI 1770123697

NPI Information

MINNESOTA ONCOLOGY HEMATOLOGY, PA is a radiation oncology radiology in Saint Paul, MN. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MINNESOTA ONCOLOGY HEMATOLOGY, PA NPI is 1770123697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1580 BEAM AVE
SAINT PAUL, MN
ZIP 55109-127
Phone: (651) 779-7978
Fax: (651) 779-7656

The provider's authorized official is Joan Louise Theis .
The authorized official title is Business Office Manager and has the following contact phone number (651) 602-5326.

The CLIA number assigned to this NPI record is 24D0926461 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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