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606 24th Ave S Ste 700 Minneapolis MN 55454-1455 | |
(612) 672-2450 | |
(612) 332-1537 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 606 24th Ave S, Minneapolis, 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 |
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Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | 606 24th Ave S Ste 700 Minneapolis MN 55454-1455 Ph: (612) 672-2450 |
NPI Number | 1598072183 |
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Provider Enumeration Date | 09/03/2010 |
Last Update Date | 11/01/2011 |
Identifier | Type | State | Issuer |
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1598072183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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