Organization · Type 2 NPI
Minnesota Oncology Hematology PA
Hematology & Oncology Physician · Plymouth, MN
Practice location
15700 37th Ave N Ste 110
Plymouth, MN 55446-3697
Fax (763) 519-7445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 1076 (MN) |
| Genetic Counselor (M.S.) | 170300000X | 1076 (MN) |
| Internal Medicine Physician | 207R00000X | 1076 (MN) |
| Hematology & Oncology Physician Primary | 207RH0003X | 1076 (MN) |
| Medical Oncology Physician | 207RX0202X | 1076 (MN) |
| Gynecologic Oncology Physician | 207VX0201X | 1076 (MN) |
| Radiation Oncology Physician | 2085R0001X | None listed |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 1076 (MN) |
| Medical Physician Assistant | 363AM0700X | 1076 (MN) |
| Surgical Physician Assistant | 363AS0400X | 1076 (MN) |
| Nurse Practitioner | 363L00000X | 1076 (MN) |
| Clinical Nurse Specialist | 364S00000X | 1076 (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.
Another provider at this address
About NPI 1235498619
Minnesota Oncology Hematology PA's National Provider Identifier is 1235498619, issued on May 7, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Plymouth, MN. The record was last updated on Sep 15, 2026.