| |
410 Church St Se Minneapolis MN 55455-0340 | |
(612) 625-8400 | |
(612) 625-1434 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 410 Church St Se, Minneapolis, Minnesota |
Authorized Official Name and Position | Edward Peter Ehlinger (DIRECTOR) |
Authorized Official Contact | 6126251612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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410 Church St Se Minneapolis MN 55455-0340 Ph: (612) 625-8400 | 410 Church St Se Minneapolis MN 55455-0340 Ph: (612) 625-8400 |
NPI Number | 1295948818 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 10/15/2007 |
Identifier | Type | State | Issuer |
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1295948818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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