| Arise Family Medical Pllc | |
|
7447 Egan Dr Ste 207 Savage MN 55378-3301 | |
| (763) 381-5607 | |
| Not Available |
| Full Name | Arise Family Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7447 Egan Dr Ste 207, Savage, Minnesota |
| Authorized Official Name and Position | Nana Wilmot-desouza (FOUNDER) |
| Authorized Official Contact | 5127734524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Family Medical Pllc 15815 Franklin Trl Se Ste 501 Prior Lake MN 55372-2076 Ph: () - | Arise Family Medical Pllc 7447 Egan Dr Ste 207 Savage MN 55378-3301 Ph: (763) 381-5607 |
| NPI Number | 1376306464 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 8921445818 |
|---|---|
| Medicare Enrollment ID | O20240327003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376306464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nana A Wilmot-desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396009247 PECOS PAC ID: 4385959972 Enrollment ID: I20150811005077 |
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