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393 Dunlap St N Ste 115 Saint Paul MN 55104-4203 | |
(952) 431-6113 | |
Not Available |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 393 Dunlap St N Ste 115, Saint Paul, Minnesota |
Authorized Official Name and Position | Marlene M Martinek (PRESIDENT) |
Authorized Official Contact | 9524316113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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393 Dunlap St N Ste 115 Saint Paul MN 55104-4203 Ph: (952) 431-6113 | 393 Dunlap St N Ste 115 Saint Paul MN 55104-4203 Ph: (952) 431-6113 |
NPI Number | 1871779595 |
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Provider Enumeration Date | 01/11/2008 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871779595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |