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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1680 DIAGONAL RD WORTHINGTON, MN 56187 US
Tel: 507-372-3800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207K00000X | Physicians Allergy & Immunology | ||
| N | 207V00000X | Physicians Obstetrics & Gynecology | ||
| N | 208000000X | Physicians Pediatrics | ||
| N | 247100000X | Technologists, Technicians & Other Technical Service Providers Radiologic Technologist | ||
| N | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | ||
| Y | 207Q00000X | Physicians Family Medicine |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0573519 | IA | 05 | |
| 308724700 | MN | 05 |
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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