NPI 1487852489

Infertility Lab and Surgery Center

Organisation Specialist Woodbury, MN

Practice location

Address: 2101 Woodwinds Dr STE 100, Woodbury, MN 55125-2526
Phone: (651) 222-6050

Authorised official

Name: Jacques Stassart
Title: Ceo
Phone: (651) 222-6050

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 31216 (MN)

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Registry record

NPI: 1487852489
Entity type: Organization
NPI issued: 11 Jul 2007
Record last updated: 11 Jul 2007

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.