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2025 E River Pkwy Minneapolis MN 55414-3604 | |
(612) 301-0115 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 2025 E River Pkwy, Minneapolis, Minnesota |
Authorized Official Name and Position | Melissa Lindberg (VP REVENUE MANAGEMENT) |
Authorized Official Contact | 6126727885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1700 University Ave W Saint Paul MN 55104-3727 Ph: (855) 324-7843 | 2025 E River Pkwy Minneapolis MN 55414-3604 Ph: (612) 301-0115 |
NPI Number | 1023783198 |
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Provider Enumeration Date | 08/11/2021 |
Last Update Date | 05/13/2024 |
Identifier | Type | State | Issuer |
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1023783198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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