Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Oncology Hematology PA

Organization Internal Medicine Physician · NPI 1205606316

Minnesota Oncology Hematology PA is an Internal Medicine Physician in Saint Paul, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
13
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2550 University Ave W Ste 105N
Saint Paul, MN 55114-1052
Phone: (651) 602-5335
Fax: (651) 414-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Internal Medicine Physician Taxonomy 207R00000X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Medical Oncology Physician Taxonomy 207RX0202X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Radiation Oncology Physician Taxonomy 2085R0001X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1205606316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Teichroew — Business Office Manager · (651) 602-5360
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address2550 University Ave W Ste 110n, Saint Paul, MN 55114-8693

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