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2520 Pilot Knob Rd Ste 250 Mendota Heights MN 55120-1347 | |
(681) 224-8264 | |
(651) 224-8265 |
Full Name | |
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Speciality | Clinic/center |
Location | 2520 Pilot Knob Rd Ste 250, Mendota Heights, Minnesota |
Authorized Official Name and Position | John Anderson (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5080 Spectrum Dr Ste 1200w Addison TX 75001-4624 Ph: () - | 2520 Pilot Knob Rd Ste 250 Mendota Heights MN 55120-1347 Ph: (681) 224-8264 |
NPI Number | 1275014623 |
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Provider Enumeration Date | 08/23/2018 |
Last Update Date | 08/23/2018 |
Identifier | Type | State | Issuer |
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1275014623 | NPI | - | NPPES |