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NPI Code Detail

MEDICARE: MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH

MEDICARE: MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1881240281
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Provider Business Mailing Address
First Line : PO BOX 083268
Second Line :
City : CHICAGO
State : IL
Zip : 60691-0268
Country : US
Telephone Number : 507-284-3390
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E MAYO BLVD # 3-105
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number : 480-342-4830
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DENNIS EUGENE DAHLEN
Credential :
Telephone Number : 507-266-4416
Provider Enumeration Date : 08/13/2019
Last Update Date : 08/11/2025

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Directions to “MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH ” Practice Location

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