| Bw Medical Pa | |
|
4001 Stinson Blvd Ne Ste 404 Minneapolis MN 55421-3424 | |
| (612) 706-9630 | |
| (612) 706-9617 |
| Full Name | Bw Medical Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Stinson Blvd Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kimberly J. Haycraft-williams (OWNER) |
| Authorized Official Contact | 6127069630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bw Medical Pa 17620 Durant St Ne Ham Lake MN 55304-4602 Ph: (763) 413-9462 | Bw Medical Pa 4001 Stinson Blvd Ne Ste 404 Minneapolis MN 55421-3424 Ph: (612) 706-9630 |
| NPI Number | 1962769687 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962769687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39788 (Minnesota) | Primary |
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