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290 Main St Nw Ste 100 Elk River MN 55330-1270 | |
| (763) 241-5800 | |
| (763) 241-5835 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 290 Main St Nw, Elk River, Minnesota |
| Authorized Official Name and Position | Maureen Vr Ring (AO SYS DIR GOVT REIMB & NETWORK REL) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6724 | 290 Main St Nw Ste 100 Elk River MN 55330-1270 Ph: (763) 241-5800 |
| NPI Number | 1144474305 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144474305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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