| Genovations Regen Pllc | |
|
2228 James St Eagan MN 55122-2336 | |
| (210) 630-0146 | |
| Not Available |
| Full Name | Genovations Regen Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2228 James St, Eagan, Minnesota |
| Authorized Official Name and Position | Jennifer Lynn Ergang (OWNER) |
| Authorized Official Contact | 2106300146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genovations Regen Pllc 2228 James St Eagan MN 55122-2336 Ph: () - | Genovations Regen Pllc 2228 James St Eagan MN 55122-2336 Ph: (210) 630-0146 |
| NPI Number | 1457005548 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457005548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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