Organization · Type 2 NPI

Minnesota Oncology Hematology, PA

Surgery Physician · Duluth, MN

NPI number 1790641256 Active

Practice location

4316 Rice Lake Rd Ste 101
Duluth, MN 55811-2885

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Genetic Counselor (M.S.) 170300000XNone listed
Internal Medicine Physician 207R00000XNone listed
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Surgery Physician Primary 208600000XNone 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
Gerontology Nurse Practitioner 363LG0600XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1790641256

Minnesota Oncology Hematology, PA's National Provider Identifier is 1790641256, issued on Dec 29, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Duluth, MN. The record was last updated on Dec 29, 2025.