Apple Valley Medical Center Sleep Lab | |
15100 Galaxie Ave Apple Valley MN 55124 | |
(952) 432-6161 | |
(952) 891-3921 |
Full Name | Apple Valley Medical Center Sleep Lab |
---|---|
Speciality | Family Medicine |
Location | 15100 Galaxie Ave, Apple Valley, Minnesota |
Authorized Official Name and Position | Mark Pottenger (ADMINISTRATOR) |
Authorized Official Contact | 9529539285 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Apple Valley Medical Center Sleep Lab 14655 Galaxie Ave Apple Valley MN 55124 Ph: (952) 432-6161 | Apple Valley Medical Center Sleep Lab 15100 Galaxie Ave Apple Valley MN 55124 Ph: (952) 432-6161 |
NPI Number | 1346550555 |
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Provider Enumeration Date | 10/21/2010 |
Last Update Date | 06/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346550555 | NPI | - | NPPES |
5CB22AP | Other | BCBS | |
22345AP | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 723 (Minnesota) | Primary |
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