| Allergy, Asthma, And Immunology Of Minnesota, Pllc | |
|
14050 Nicollet Ave Suite 201 Burnsville MN 55337-5710 | |
| (651) 224-4930 | |
| (651) 842-3391 |
| Full Name | Allergy, Asthma, And Immunology Of Minnesota, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14050 Nicollet Ave, Burnsville, Minnesota |
| Authorized Official Name and Position | Cherie Yvonne Zachary (PRESIDENT) |
| Authorized Official Contact | 6512244930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allergy, Asthma, And Immunology Of Minnesota, Pllc 2854 Highway 55 Suite 130 Eagan MN 55121-2156 Ph: (651) 224-4930 | Allergy, Asthma, And Immunology Of Minnesota, Pllc 14050 Nicollet Ave Suite 201 Burnsville MN 55337-5710 Ph: (651) 224-4930 |
| NPI Number | 1255617031 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255617031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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