Service, Geoffrey J

Service, Geoffrey J is an individual health care provider with primary practice located at 2080 Woodwinds Dr Ste 240 , Woodbury MN 55125-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Service, Geoffrey J can be contacted via phone (651) 702-0750.

Contact Information

Primary practice address
2080 Woodwinds Dr Ste 240 Woodbury MN 55125-2539
Phone: (651) 702-0750
Fax: (651) 645-6166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 73030-20 Wisconsin
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 46856 Minnesota

Profile Details

NPI number 1831162601
LBN Legal business name Service, Geoffrey J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831162601 NPPES
Minnesota MEDICAID 659401800
Minnesota Other P00610300

Popular Providers