| Executive Health Care | |
|
920 E 28th Street Suite 740 Minneapolis MN 55407-1163 | |
| (612) 871-6268 | |
| (612) 870-1666 |
| Full Name | Executive Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 E 28th Street, Minneapolis, Minnesota |
| Authorized Official Name and Position | Dudley Maurice Mclinn (PRESIDENT) |
| Authorized Official Contact | 6128706268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Health Care 920 E 28th Street Suite 740 Minneapolis MN 55407-1163 Ph: (612) 871-6268 | Executive Health Care 920 E 28th Street Suite 740 Minneapolis MN 55407-1163 Ph: (612) 871-6268 |
| NPI Number | 1295917995 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295917995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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