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NPI Code Detail

MEDICARE: LINDA BEISER

MEDICARE: LINDA BEISER
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
1225100000XPhysical Therapist1119MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16402622OTHERMNMEDICA
247902LEOTHERMNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1689774655
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA BEISER
Provider Business Mailing Address
First Line : 15093 675TH AVE
Second Line :
City : ALDEN
State : MN
Zip : 56009-5502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1994 E RUM RIVER DR S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-2663
Country : US
Telephone Number : 763-689-5385
Fax Number : 763-689-5558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/09/2007

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Directions to “ LINDA BEISER ” Practice Location

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