Eagle Medical Pa | |
490 Oak St Excelsior MN 55331-3002 | |
(952) 474-4167 | |
(952) 474-5700 |
Full Name | Eagle Medical Pa |
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Speciality | Family Medicine |
Location | 490 Oak St, Excelsior, Minnesota |
Authorized Official Name and Position | Milton Henry Seifert (CEO, OWNER) |
Authorized Official Contact | 95247474167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eagle Medical Pa 490 Oak St Excelsior MN 55331-3002 Ph: (952) 474-4167 | Eagle Medical Pa 490 Oak St Excelsior MN 55331-3002 Ph: (952) 474-4167 |
NPI Number | 1225138399 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225138399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14736 (Minnesota) | Primary |
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