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5975 Carmen Ave Inver Grove Heights MN 55076-4416 | |
(651) 455-9697 | |
(651) 455-2012 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 5975 Carmen Ave, Inver Grove Heights, Minnesota |
Authorized Official Name and Position | Robert M Deeb (COO) |
Authorized Official Contact | 6514559697 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5975 Carmen Ave Inver Grove Heights MN 55076-4416 Ph: (651) 455-9697 | 5975 Carmen Ave Inver Grove Heights MN 55076-4416 Ph: (651) 455-9697 |
NPI Number | 1285943027 |
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Provider Enumeration Date | 09/28/2010 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
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1285943027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | R1693555 (Minnesota) | Primary |
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