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1575 Beam Ave Maplewood MN 55109-1126 | |
(651) 326-7200 | |
(651) 326-7240 |
Full Name | |
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Speciality | Family Medicine |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1575 Beam Ave Maplewood MN 55109-1126 Ph: (651) 326-7200 | 1575 Beam Ave Maplewood MN 55109-1126 Ph: (651) 326-7200 |
NPI Number | 1710147954 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 10/04/2023 |
Identifier | Type | State | Issuer |
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1710147954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Polaris Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2053 Woodlynn Ave, Maplewood, MN 55109 Phone: 651-431-0047 | |
My Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 Beam Ave, Maplewood, MN 55109 Phone: 651-484-6923 |