| Deswil Medical Group Pllc | |
|
15815 Franklin Trl Se Ste 501 Prior Lake MN 55372-2076 | |
| (952) 522-6344 | |
| Not Available |
| Full Name | Deswil Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15815 Franklin Trl Se Ste 501, Prior Lake, Minnesota |
| Authorized Official Name and Position | Nana Wilmot-desouza (CEO) |
| Authorized Official Contact | 9525226344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deswil Medical Group Pllc 15815 Franklin Trl Se Ste 501 Prior Lake MN 55372-2076 Ph: () - | Deswil Medical Group Pllc 15815 Franklin Trl Se Ste 501 Prior Lake MN 55372-2076 Ph: (952) 522-6344 |
| NPI Number | 1508642232 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508642232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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