| Anoka County Non-secure | |
|
7555 4th Ave Lino Lakes MN 55014-1068 | |
| (651) 783-7502 | |
| (651) 783-8160 |
| Full Name | Anoka County Non-secure |
|---|---|
| Speciality | Counselor |
| Location | 7555 4th Ave, Lino Lakes, Minnesota |
| Authorized Official Name and Position | Susan Melinda Moser (ADMINISTRATIVE SUPERVISOR) |
| Authorized Official Contact | 6517837502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anoka County Non-secure 7555 4th Ave Lino Lakes MN 55014-1068 Ph: (651) 783-7502 | Anoka County Non-secure 7555 4th Ave Lino Lakes MN 55014-1068 Ph: (651) 783-7502 |
| NPI Number | 1417154220 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417154220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1036841-1-CRF (Minnesota) | Primary |
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