NPI 1265802052

Integrative Immunity Health System PC

Organisation Allergy Physician Edina, MN

Practice location

Address: 3939 W 69th St Unit B, Edina, MN 55435-2001
Phone: (952) 222-3879
Fax: (952) 222-3919
Mailing address: 625 W 18th St STE 100, Sioux Falls, SD 57105-0602

Authorised official

Name: Benoit D Tano
Title: Md/Owner
Phone: (952) 222-3879

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 56126 (MN)

Other Allergy & Immunology providers in Minnesota →

Registry record

NPI: 1265802052
Entity type: Organization
NPI issued: 6 Oct 2015
Record last updated: 20 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.