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SANFORD HEALTH NETWORK

Allergy and Immunology

Worthington, Minnesota

Provider NPI: 1487685970

Organization Information:
Organization Name:  SANFORD HEALTH NETWORK


Practice Location:
1680 DIAGONAL RD  WORTHINGTON, MN 56187 US
Tel: 507-372-3800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
N207V00000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
N364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType
0573519IA05
308724700MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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