| |
20 Lake St N Ste 210 Forest Lake MN 55025-2511 | |
(612) 672-6999 | |
(651) 464-4847 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 20 Lake St N, Forest Lake, 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 | Practice Location Address |
---|---|
Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | 20 Lake St N Ste 210 Forest Lake MN 55025-2511 Ph: (612) 672-6999 |
NPI Number | 1386872281 |
---|---|
Provider Enumeration Date | 06/30/2009 |
Last Update Date | 10/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386872281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Forest Lake Skin And Vein Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 12th St Sw, Suite A, Forest Lake, MN 55025 Phone: 651-464-7273 Fax: 651-464-7969 | |
Duncan Chiropractic Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-464-4199 Fax: 651-464-4202 |