Evernorth Care Providers - Delaware Pa | |
121 Washington Ave N Fl 2 Minneapolis MN 55401-2503 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Delaware Pa |
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Speciality | General Practice |
Location | 121 Washington Ave N Fl 2, Minneapolis, Minnesota |
Authorized Official Name and Position | Grace Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evernorth Care Providers - Delaware Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa 121 Washington Ave N Fl 2 Minneapolis MN 55401-2503 Ph: (773) 292-4800 |
NPI Number | 1023870292 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 01/24/2024 |
Identifier | Type | State | Issuer |
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1023870292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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