Healthcare Provider Details

I. General information

NPI: 1063596328
Provider Name (Legal Business Name): CATHERINE IRENE LINDBLAD PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 S 6TH ST SUITE F256 / 2B WEST
MINNEAPOLIS MN
55454-1336
US

IV. Provider business mailing address

UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE ST SE
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-9800
  • Fax:
Mailing address:
  • Phone: 612-273-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number116830-7
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: