Organization Name: | METROPOLITAN INTERNISTS, PA |
NPI Number: | 1629193446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN E MEYERS (MANAGER ADMINISTRATOR) |
Mailing Address: | 825 S 8th St Suite #600 Parkside Prof Bldg Minneapolis |
State: | MN US |
Postal Code: | 554041208 |
Phone Number: | 6123397171 |
Fax Number: | 6123392885 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |