| Advanced Medical Of Twin Cities, P.c. | |
|
5685 Duluth St Golden Valley MN 55422-4054 | |
| (763) 541-1280 | |
| (763) 541-1012 |
| Full Name | Advanced Medical Of Twin Cities, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5685 Duluth St, Golden Valley, Minnesota |
| Authorized Official Name and Position | Gilbert Brent Garrett (IT) |
| Authorized Official Contact | 7635411280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Of Twin Cities, P.c. 5685 Duluth St Golden Valley MN 55422-4054 Ph: (763) 541-1280 | Advanced Medical Of Twin Cities, P.c. 5685 Duluth St Golden Valley MN 55422-4054 Ph: (763) 541-1280 |
| NPI Number | 1952587156 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/17/2008 |
| Medicare PECOS PAC ID | 9436137643 |
|---|---|
| Medicare Enrollment ID | O20050920001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952587156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Arlen J Lieberman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659367308 PECOS PAC ID: 3173557147 Enrollment ID: I20111208000432 |
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