Djholt Llc | |
2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 | |
(651) 210-9306 | |
Not Available |
Full Name | Djholt Llc |
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Speciality | Clinic/center |
Location | 2136 Ford Pkwy Ste 5061, Saint Paul, Minnesota |
Authorized Official Name and Position | David Holt (OWNER) |
Authorized Official Contact | 6512109306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Djholt Llc 2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 Ph: () - | Djholt Llc 2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 Ph: (651) 210-9306 |
NPI Number | 1447827688 |
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Provider Enumeration Date | 06/07/2021 |
Last Update Date | 06/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447827688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |