Organization · Type 2 NPI
Gerald A Madir
Clinic/Center · Bloomington, MN
NPI number
1497957104
Active
Practice location
9336 Ensign Ave S
Bloomington, MN 55438-1455
Fax (952) 942-6295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 1447 (MN) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1497957104
Gerald A Madir's National Provider Identifier is 1497957104, issued on Jun 4, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bloomington, MN. The record was last updated on Jun 23, 2008.