Organization · Type 2 NPI

Minnesota Oncology Hematology, PA

Hematology & Oncology Physician · Waconia, MN

NPI number 1447394424 Active

Practice location

560 S Maple St, Suite 100
Waconia, MN 55387-1760

Call (952) 442-6006 Map

Fax (952) 442-6004

Mailing address

560 S Maple St., Suite 100
Waconia, MN 55387

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X1076 (MN)
Genetic Counselor (M.S.) 170300000X1076 (MN)
Internal Medicine Physician 207R00000X1076 (MN)
Hematology & Oncology Physician Primary 207RH0003X1076 (MN)
Medical Oncology Physician 207RX0202X1076 (MN)
Gynecologic Oncology Physician 207VX0201X1076 (MN)
Radiation Oncology Physician 2085R0001X1076 (MN)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X1076 (MN)
Medical Physician Assistant 363AM0700X1076 (MN)
Surgical Physician Assistant 363AS0400X1076 (MN)
Nurse Practitioner 363L00000X1076 (MN)
Clinical Nurse Specialist 364S00000X1076 (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 1447394424

Minnesota Oncology Hematology, PA's National Provider Identifier is 1447394424, issued on Feb 16, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Waconia, MN. The record was last updated on Sep 24, 2013.