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3550 Labore Rd Ste 7 Vadnais Heights MN 55110-5113 | |
(651) 788-4444 | |
(651) 766-9451 |
Full Name | |
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Speciality | Family Medicine |
Location | 3550 Labore Rd Ste 7, Vadnais Heights, Minnesota |
Authorized Official Name and Position | Kyle Nelson (CAO) |
Authorized Official Contact | 6517721572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 Ph: (651) 772-1572 | 3550 Labore Rd Ste 7 Vadnais Heights MN 55110-5113 Ph: (651) 788-4444 |
NPI Number | 1528248259 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 10/26/2023 |
Identifier | Type | State | Issuer |
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1528248259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1428 (Minnesota) | Primary |
Minnesota Natural Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 Willow Lake Blvd, #100, Vadnais Heights, MN 55110 Phone: 651-484-5567 | |
Northeast Pediatric Clinic P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Vadnais Heights, MN 55127 Phone: 651-426-1141 Fax: 651-426-1705 | |