Full Name | |
---|---|
Speciality | Marriage & Family Therapist |
Location | 12533 355th St, Avon, Minnesota |
Authorized Official Name and Position | Jane Barbara Blommel (OFFICE MANAGER) |
Authorized Official Contact | 3203638877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
12533 355th St Avon MN 56310-8736 Ph: (320) 363-8877 | 12533 355th St Avon MN 56310-8736 Ph: (320) 363-8877 |
NPI Number | 1144318189 |
---|---|
Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144318189 | NPI | - | NPPES |
434M2SC | Other | MN | BLUE CROSS BLUE SHIELD |
434M1SC | Other | MN | BLUE CROSS BLUE SHIELD |
6203572 | Other | MN | MEDICA/UBH |
HP27100 | Other | MN | HEALTH PARTNERS |