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600 W 98th St Bloomington MN 55420-4773 | |
| (952) 885-6150 | |
| (952) 885-6022 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 600 W 98th St, Bloomington, Minnesota |
| Authorized Official Name and Position | Daniel M Fromm (CFO) |
| Authorized Official Contact | 6126724976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | 600 W 98th St Bloomington MN 55420-4773 Ph: (952) 885-6150 |
| NPI Number | 1497992770 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497992770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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