NPI 1699190405
State of Minnesota
Practice location
- Address
- 6125 Olson Memorial Hwy, Golden Valley, MN 55422-4918
- Phone
- (763) 279-4200
- Fax
- (763) 591-4646
Authorised official
- Name
- Sue Macker
- Title
- Executive Director
- Phone
- (763) 279-4160
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1699190405
- Entity type
- Organization
- NPI issued
- 3 Mar 2014
- Record last updated
- 3 Mar 2014
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.