Healthcare Provider Details

I. General information

NPI: 1548365406
Provider Name (Legal Business Name): MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CENTER ST W STE LO19
ROCHESTER MN
55902-3003
US

IV. Provider business mailing address

PO BOX 860135
MINNEAPOLIS MN
55486-0135
US

V. Phone/Fax

Practice location:
  • Phone: 507-266-7416
  • Fax: 507-538-1314
Mailing address:
  • Phone: 507-284-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number262170
License Number StateMN

VIII. Authorized Official

Name: MS. ANDREA SWANSON
Title or Position: DIRECTOR
Credential: RPH
Phone: 507-538-1680