| Group Health Plan, Inc | |
|
8170 33rd Ave S Bloomington MN 55425-4516 | |
| (982) 883-5151 | |
| Not Available |
| Full Name | Group Health Plan, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8170 33rd Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | David S Gesko (DENTAL DIRECTOR AND SENIOR VP) |
| Authorized Official Contact | 9528837577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Health Plan, Inc Po Box 1309 Mailstop 21113a Minneapolis MN 55440-1309 Ph: (952) 883-5151 | Group Health Plan, Inc 8170 33rd Ave S Bloomington MN 55425-4516 Ph: (982) 883-5151 |
| NPI Number | 1801173489 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801173489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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