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1747 Beam Ave Ste 100 Maplewood MN 55109-1128 | |
(651) 326-5569 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1747 Beam Ave Ste 100, Maplewood, Minnesota |
Authorized Official Name and Position | Maureen Ring (AO DIRECTOR, NETWORK RELATIONS) |
Authorized Official Contact | 6126726740 |
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: (612) 672-6740 | 1747 Beam Ave Ste 100 Maplewood MN 55109-1128 Ph: (651) 326-5569 |
NPI Number | 1003577420 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 12/17/2024 |
Identifier | Type | State | Issuer |
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1003577420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (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 |