| Eden Prairie Clinic, Pa | |
|
9358 Ensign Ave S Suite C Bloomington MN 55438-1472 | |
| (952) 944-6989 | |
| Not Available |
| Full Name | Eden Prairie Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9358 Ensign Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Radha Krishna Kumar (OWNER) |
| Authorized Official Contact | 9529446989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Prairie Clinic, Pa 9358 Ensign Ave S Suite C Bloomington MN 55438-1472 Ph: (952) 944-6989 | Eden Prairie Clinic, Pa 9358 Ensign Ave S Suite C Bloomington MN 55438-1472 Ph: (952) 944-6989 |
| NPI Number | 1437459211 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437459211 | NPI | - | NPPES |
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