Randall Sercombe M.D.

NPI 1699799007 - Pediatrics - 208000000X

NPI Details
NPI 1699799007
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6545 FRANCE AVE S
SUITE 400
EDINA MN, 55435-2131, US
Phone (952) 920-9191
Fax (952) 920-0232
Business Location
6545 FRANCE AVE S
SUITE 400
EDINA MN, 55435-2131, US
Phone (952) 920-9191
Fax (952) 920-0232
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 36050
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According to our database, Randall Sercombe M.D. NPI is 1699799007, taxonomy code is 208000000X and license number is 36050, license state is located at Minnesota. Randall Sercombe M.D. physically located at 6545 France Ave S, Edina MN, 55435-2131. NPI Number Randall Sercombe M.D. has the Individual type.

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1699799007 NPI number is provided on an as is basis without warranty of any kind. 1699799007 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Sercombe M.D. are for informational purposes only.