OrganizationActive
Allergy, Asthma and Immunology Clinic, P.A.
NPI 1891729737 · Medical Specialty Clinic/Center · Shoreview, MN
Provider details
- NPI number
- 1891729737
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Cecko, Office Manager(651) 765-9800
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4625 Churchill St
Suite 211
Shoreview, MN 55126-5868
Phone: (651) 765-9800
Fax: (651) 765-9801
Approximate (ZIP-level) locationGet directions
Mailing address
4625 Churchill St
Shoreview, MN 55126-5868
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2007-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.