Southside At The Cottage Grove Site

  • 1255770962 NPI Number
  • |
  • Actived: 6 years ago
  • |
According to our database, NPI number for Southside At The Cottage Grove Site is 1255770962 and actived since Monday, June 17 2013. Southside At The Cottage Grove Site is an Organization provider specializes in Family Medicine. Provider information was last updated on 04/30/2014.

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Overview of Southside At The Cottage Grove Site

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Family Medicine
  • Active since: 06/17/2013
  • Last updated: 04/30/2014

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 4243 4th Ave S
    Minneapolis, MN 55409
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 8454 East Point Douglas Road
    Cottage Grove, MN 55016
  • Phone: 612-821-2800
  • Fax:

Authorized Official

  • Name: MR. William Henry Tendle JR.
  • Position/Title: Executive Director
  • Telephone Number: 612-821-2800

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Southside At The Cottage Grove Site?
  • A: The npi number for Southside At The Cottage Grove Site is 1255770962.
  • Q: What are Southside At The Cottage Grove Site's specialties?
  • A: Southside At The Cottage Grove Site's specialties are Family Medicine and different specialities.
  • Q: Where is Southside At The Cottage Grove Site business practice location?
  • A: Southside At The Cottage Grove Site business practice location is 8454 East Point Douglas Road, Cottage Grove, MN 55016.
  • Q: How to contact Southside At The Cottage Grove Site?
  • A: You can contact Southside At The Cottage Grove Site via 612-821-2800.
  • Q: What is the authorized official for Southside At The Cottage Grove Site?
  • A: The authorized office name is MR. William Henry Tendle JR. with position/title is Executive Director and you can reach the authorized official via phone number 6128212800.