| Regents Of The University Of Minnesota | |
|
515 Delaware St Se Fl 6 Minneapolis MN 55455-0357 | |
| (612) 625-4777 | |
| Not Available |
| Full Name | Regents Of The University Of Minnesota |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 515 Delaware St Se Fl 6, Minneapolis, Minnesota |
| Authorized Official Name and Position | Angela M Erickson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6126264232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of Minnesota 515 Delaware St Se 7-521 Moos Tower Minneapolis MN 55455-0357 Ph: (612) 625-4777 | Regents Of The University Of Minnesota 515 Delaware St Se Fl 6 Minneapolis MN 55455-0357 Ph: (612) 625-4777 |
| NPI Number | 1104505015 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104505015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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