| Advacare Medical Clinic Ltd | |
|
5325 W 74th St Ste 9 Edina MN 55439-2212 | |
| (651) 354-6602 | |
| Not Available |
| Full Name | Advacare Medical Clinic Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 5325 W 74th St Ste 9, Edina, Minnesota |
| Authorized Official Name and Position | David Makonde Ogato (PRACTICE MANAGER) |
| Authorized Official Contact | 6513546602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advacare Medical Clinic Ltd 1359 Knoll Dr Shakopee MN 55379-4624 Ph: () - | Advacare Medical Clinic Ltd 5325 W 74th St Ste 9 Edina MN 55439-2212 Ph: (651) 354-6602 |
| NPI Number | 1578116786 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578116786 | NPI | - | NPPES |
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