| Concierge Medicine Of Minnesota | |
|
13419 Avila Ave Rosemount MN 55068-2170 | |
| (864) 335-9020 | |
| Not Available |
| Full Name | Concierge Medicine Of Minnesota |
|---|---|
| Speciality | Family Medicine |
| Location | 13419 Avila Ave, Rosemount, Minnesota |
| Authorized Official Name and Position | Adrianne Westmoreland (OWNER/PROVIDER) |
| Authorized Official Contact | 8643359020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Medicine Of Minnesota Po Box 304 Rosemount MN 55068-0304 Ph: (218) 464-3564 | Concierge Medicine Of Minnesota 13419 Avila Ave Rosemount MN 55068-2170 Ph: (864) 335-9020 |
| NPI Number | 1023893831 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 8729435557 |
|---|---|
| Medicare Enrollment ID | O20231115002448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023893831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adrianne D Westmoreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518254366 PECOS PAC ID: 5395985766 Enrollment ID: I20180627001882 |
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