| Southdale Digestive Diseases, Pa | |
|
7901 Xerxes Ave S Bloomington MN 55431-1253 | |
| (952) 920-2453 | |
| Not Available |
| Full Name | Southdale Digestive Diseases, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7901 Xerxes Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Jan Henri Tanghe (MD) |
| Authorized Official Contact | 7634160799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southdale Digestive Diseases, Pa 5705 Parkwood Ln Edina MN 55436-1731 Ph: (763) 416-0799 | Southdale Digestive Diseases, Pa 7901 Xerxes Ave S Bloomington MN 55431-1253 Ph: (952) 920-2453 |
| NPI Number | 1487838918 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487838918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017877 (Minnesota) | Primary |
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