| |
3024 Snelling Ave S Minneapolis MN 55406-1911 | |
(612) 775-4900 | |
(612) 728-1621 |
Full Name | |
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Speciality | Family Medicine |
Location | 3024 Snelling Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 43 Mail Route 10585 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 3024 Snelling Ave S Minneapolis MN 55406-1911 Ph: (612) 775-4900 |
NPI Number | 1285930065 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 01/16/2025 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120224000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285930065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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