Healthcare Provider Details

I. General information

NPI: 1417923475
Provider Name (Legal Business Name): MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW SUITE SL123
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

PO BOX 083268
CHICAGO IL
60691-0268
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-9669
  • Fax: 507-538-1314
Mailing address:
  • Phone: 507-284-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DENNIS EUGENE DAHLEN
Title or Position: CFO
Credential:
Phone: 507-266-4416