Organization · Type 2 NPI

Minnesota Oncology Hematology PA

Hematology & Oncology Physician · St. Paul, MN

NPI number 1205606316 Active

Practice location

2550 University Ave W Ste 105N
St. Paul, MN 55114-1052

Fax (651) 414-3101

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-8693

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed

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 1205606316

Minnesota Oncology Hematology PA's National Provider Identifier is 1205606316, issued on Jan 9, 2024. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Paul, MN. The record was last updated on Jan 9, 2024.