| |
2165 White Bear Ave N Maplewood MN 55109-2707 | |
(952) 967-6278 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2165 White Bear Ave N, Maplewood, Minnesota |
Authorized Official Name and Position | Lisa Bjorkman (DIRECTOR) |
Authorized Official Contact | 9528837469 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
8170 33rd Ave South Mailstop 21110q - Lisa L Bjorkman Bloomington MN 55425 Ph: (952) 883-7469 | 2165 White Bear Ave N Maplewood MN 55109-2707 Ph: (952) 967-6278 |
NPI Number | 1962986927 |
---|---|
Provider Enumeration Date | 09/17/2018 |
Last Update Date | 09/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962986927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 |