Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 1302 | MN |
Y | 213ER0200X | Radiology | 1302 | MN |
NPI | 1780622316 |
---|---|
Provider Name | Dr. Vinton Lee Albers |
First Address | Apple Valley, MN 55124-0129 |
Second Address | Apple Valley, MN 55124-7690 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 08/07/2007 |