| 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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