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General NPI Number Information
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NPI Number | 1609969484
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Entity Type | Organization
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Legal Business Name | MINNEAPOLIS MEDICAL GROUP PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7450 FRANCE AVE S SUITE 250
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City | MINNEAPOLIS
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State | MN
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Zip | 55435-4787
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Country | US
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Telephone | 952-746-1050
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Fax | 952-746-1053
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Provider Business Mailing Address
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Address Line | 1730 NEW BRIGHTON BLVD #230
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-1248
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Country | US
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Telephone | 952-746-1050
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Fax | 952-746-1053
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. LINDA H. STARR
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Credential |
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Telephone | 317-598-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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