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NPI Code Detail

MEDICARE: UROLOGY ASSOCIATES, LTD.

MEDICARE: UROLOGY ASSOCIATES, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician130MN

General Provider Information

NPI Number : 1528305927
Entity Type Code : Organization
Provider Name (Legal Business Name) : UROLOGY ASSOCIATES, LTD.
Provider Business Mailing Address
First Line : 6525 FRANCE AVE S
Second Line : SUITE 200
City : EDINA
State : MN
Zip : 55435-2148
Country : US
Telephone Number : 952-927-6501
Fax Number :
Provider Business Practice Location Address
First Line : 204 LUNDORFF DR
Second Line :
City : SANDSTONE
State : MN
Zip : 55072-5051
Country : US
Telephone Number : 952-927-6501
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : BARBARA WEDEKIND
Credential :
Telephone Number : 952-927-6501
Provider Enumeration Date : 01/07/2013
Last Update Date : 01/07/2013

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Directions to “UROLOGY ASSOCIATES, LTD. ” Practice Location

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