Organization · Type 2 NPI

Minnesota Oncology Hematology, PA

Hematology & Oncology Physician · Woodbury, MN

NPI number 1114430089 Active

Practice location

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-2001

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X1076 (MN)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1114430089

Minnesota Oncology Hematology, PA's National Provider Identifier is 1114430089, issued on Nov 14, 2017. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Woodbury, MN. The record was last updated on Nov 14, 2017.