<unavail> in Minneapolis, MN

is a primary clinic (Family Medicine) in Minneapolis, Minnesota. The current practice location for is 400 Stinson Blvd, Provider Enrollment, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 672-2258. The mailing address for is 6101 Scandia Trl N, Room 411, Forest Lake, Minnesota and phone number is (651) 972-7900.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1548718588. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (612) 672-2258.

Contact Information


	400 Stinson Blvd Provider Enrollment Minneapolis MN 55413-2614
	(612) 672-2258
	(612) 672-6041

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	400 Stinson Blvd, Minneapolis, Minnesota
Authorized Official Name and Position	Robert Andrew Mccoy (VP REVENUE MANAGEMENT)
Authorized Official Contact	6126726594
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6101 Scandia Trl N Room 411 Forest Lake MN 55025-2630 Ph: (651) 972-7900	400 Stinson Blvd Provider Enrollment Minneapolis MN 55413-2614 Ph: (612) 672-2258

NPI Details:

NPI Number	1548718588
Provider Enumeration Date	09/20/2016
Last Update Date	10/26/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548718588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Reviews and Comments

Family Medicine in Minneapolis, MN

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- Primary Care in Minneapolis, MN