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

Minnesota Oncology Hematology, PA

Organization Registered Dietitian · NPI 1619111705

Minnesota Oncology Hematology, PA is a Registered Dietitian in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
Specialties on file
11
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

11850 Blackfoot NW Ste 100
Coon Rapids, MN 55433-2569
Phone: (763) 712-2100
Fax: (763) 712-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 1076 (MN)
Registered Dietitian Taxonomy 133V00000X · Licence 1076 (MN)
Genetic Counselor (M.S.) Taxonomy 170300000X · Licence 1076 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1076 (MN)
Medical Oncology Physician Taxonomy 207RX0202X · Licence 1076 (MN)
Gynecologic Oncology Physician Taxonomy 207VX0201X · Licence 1076 (MN)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 1076 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1076 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1076 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 1076 (MN)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 1076 (MN)

Record details

NPI number1619111705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Gesme — President · (612) 884-6300
NPI enumeratedApril 21, 2009
Last updated in NPPESDecember 20, 2013
Mailing address11850 Blackfoot Nw, Suite 100, Coon Rapids, MN 55433-2569

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