Red Wing Health Center | |
1412 W 4th St Red Wing MN 55066-2107 | |
(651) 385-4804 | |
(651) 385-0967 |
Full Name | Red Wing Health Center |
---|---|
Speciality | Psychologist |
Location | 1412 W 4th St, Red Wing, Minnesota |
Authorized Official Name and Position | Shelly Holmstadt (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 6513854804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Red Wing Health Center 1412 W 4th St Red Wing MN 55066-2107 Ph: (651) 385-4804 | Red Wing Health Center 1412 W 4th St Red Wing MN 55066-2107 Ph: (651) 385-4804 |
NPI Number | 1841617172 |
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Provider Enumeration Date | 03/25/2014 |
Last Update Date | 03/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841617172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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