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Allergy, Asthma And Immunology Clinic, P.a.
Medical Specialty Clinic/Center in Shoreview, Minnesota
NPI 1891729737

Allergy, Asthma And Immunology Clinic, P.a. is a Medical Specialty Clinic/Center based in Shoreview, MN and is specialized in Medical Specialty. Allergy, Asthma And Immunology Clinic, P.a. practices in Shoreview, MN. The NPI Number for Allergy, Asthma And Immunology Clinic, P.a. is 1891729737 and holds a License No. (Minnesota).

The current practice location address for Allergy, Asthma And Immunology Clinic, P.a. is 4625 Churchill St, Shoreview, MN and can be reached out via phone at 651-765-9800 and via fax at 651-765-9801.

Location: 4625 Churchill St, Shoreview, MN, 55126-5868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891729737
Provider Name
Allergy, Asthma And Immunology Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
4625 Churchill St, Shoreview, MN, 55126-5868
Phone Number
651-765-9800
Fax Number
651-765-9801
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37517500 05 MN
DB3323 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4625 Churchill St
City
Shoreview
State
Minnesota
Zip
55126-5868
Phone Number
651-765-9800
Fax Number
651-765-9801
person
Provider Business Mailing Address Details
Address
4625 Churchill St
City
Shoreview
State
Minnesota
Zip
55126-5868
Phone Number
651-765-9800
Fax Number
651-765-9801
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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