Evident Healthcare Management Llc | |
7300 Hudson Blvd N Ste 185 Oakdale MN 55128-7146 | |
(651) 300-0140 | |
Not Available |
Full Name | Evident Healthcare Management Llc |
---|---|
Speciality | Clinic/center |
Location | 7300 Hudson Blvd N Ste 185, Oakdale, Minnesota |
Authorized Official Name and Position | Ngang Mou-bayong (OWNER) |
Authorized Official Contact | 6513000140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evident Healthcare Management Llc 7300 Hudson Blvd N Ste 185 Oakdale MN 55128-7146 Ph: (651) 300-0140 | Evident Healthcare Management Llc 7300 Hudson Blvd N Ste 185 Oakdale MN 55128-7146 Ph: (651) 300-0140 |
NPI Number | 1265292593 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265292593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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