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NPI Code Detail

MEDICARE: MINNETONKA PUBLIC SCHOOLS

MEDICARE: MINNETONKA PUBLIC SCHOOLS
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
1251300000XLocal Education Agency (LEA)MN

General Provider Information

NPI Number : 1285911750
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINNETONKA PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 5621 COUNTY ROAD 101
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4214
Country : US
Telephone Number : 952-401-5017
Fax Number : 952-401-5032
Provider Business Practice Location Address
First Line : 5621 COUNTY ROAD 101
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4214
Country : US
Telephone Number : 952-401-5017
Fax Number : 952-401-5032
Authorized Official
Title or Position : EXECUTIVE DIRECTOR OF STUDENT SUPPO
Name : DR. JAN R BOOTSMA
Credential : PH.D.
Telephone Number : 952-401-5017
Provider Enumeration Date : 11/10/2011
Last Update Date : 11/10/2011

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Directions to “MINNETONKA PUBLIC SCHOOLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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