| |
380 Ameriprise Financial Ctr Minneapolis MN 55474-0003 | |
(612) 671-6202 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 380 Ameriprise Financial Ctr, Minneapolis, Minnesota |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-4948 Ph: () - | 380 Ameriprise Financial Ctr Minneapolis MN 55474-0003 Ph: (612) 671-6202 |
NPI Number | 1861725335 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 09/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861725335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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