NPI 1649926403
Group Health Plan
Practice location
- Address
- 3650 Braddock Ave NE STE 400, Buffalo, MN 55313-3666
- Phone
- (763) 587-4725
- Fax
- (952) 883-9604
- Mailing address
- 8170 33rd Ave S, Bloomington, MN 55425-4516
Authorised official
- Name
- Lisa Bjorkman
- Title
- Director
- Phone
- (952) 883-7469
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1649926403
- Entity type
- Organization
- NPI issued
- 1 Mar 2022
- Record last updated
- 1 Mar 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.