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11159 Meadow View Ln Maple Grove MN 55311-7570 | |
| (763) 447-9681 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Non-emergency Medical Transport (van) |
| Location | 11159 Meadow View Ln, Maple Grove, Minnesota |
| Authorized Official Name and Position | Ebuka Cyrinus Osuorah (OWNER) |
| Authorized Official Contact | 7634479681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11159 Meadow View Ln Maple Grove MN 55311-7570 Ph: (763) 447-9681 | 11159 Meadow View Ln Maple Grove MN 55311-7570 Ph: (763) 447-9681 |
| NPI Number | 1013749225 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013749225 | NPI | - | NPPES |
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