Northwest Suburban Urology, P.a. | |
7261 Ohms Ln Edina MN 55439-2148 | |
(952) 843-4300 | |
(952) 843-4301 |
Full Name | Northwest Suburban Urology, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 7261 Ohms Ln, Edina, Minnesota |
Authorized Official Name and Position | Michael Long Tran (PRESIDENT) |
Authorized Official Contact | 9528434300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Suburban Urology, P.a. 7261 Ohms Ln Edina MN 55439-2148 Ph: (952) 843-4300 | Northwest Suburban Urology, P.a. 7261 Ohms Ln Edina MN 55439-2148 Ph: (952) 843-4300 |
NPI Number | 1326257452 |
---|---|
Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326257452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 38356 (Minnesota) | Primary |
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