East Metro - Inver Grove | |
2980 Buckley Way Inver Grove Heights MN 55076-2017 | |
(651) 457-2748 | |
(651) 457-0822 |
Full Name | East Metro - Inver Grove |
---|---|
Speciality | Family Medicine |
Location | 2980 Buckley Way, Inver Grove Heights, Minnesota |
Authorized Official Name and Position | Paul Berrisford (CEO) |
Authorized Official Contact | 6517721572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Metro - Inver Grove 2025 Sloan Pl Suite 35 Saint Paul MN 55117-2007 Ph: (651) 772-2077 | East Metro - Inver Grove 2980 Buckley Way Inver Grove Heights MN 55076-2017 Ph: (651) 457-2748 |
NPI Number | 1760600258 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760600258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1417 (Minnesota) | Primary |
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