| Eden Medical Group | |
|
2226 119th Ave Ne Blaine MN 55449-5440 | |
| (612) 481-0603 | |
| Not Available |
| Full Name | Eden Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2226 119th Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Nimo Osman Ahmed (NURSING PRACTITIONER) |
| Authorized Official Contact | 6124810603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Medical Group 2226 119th Ave Ne Blaine MN 55449-5440 Ph: (612) 481-0603 | Eden Medical Group 2226 119th Ave Ne Blaine MN 55449-5440 Ph: (612) 481-0603 |
| NPI Number | 1497517130 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497517130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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