| Hennepin Faculty Associates | |
|
914 S 8th St S4 Minneapolis MN 55404-1210 | |
| (612) 347-6450 | |
| Not Available |
| Full Name | Hennepin Faculty Associates |
|---|---|
| Speciality | General Practice |
| Location | 914 S 8th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Lawrence R Fosbury (PRESIDENT) |
| Authorized Official Contact | 6123475109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin Faculty Associates 914 S 8th St S600 Minneapolis MN 55404-1210 Ph: () - | Hennepin Faculty Associates 914 S 8th St S4 Minneapolis MN 55404-1210 Ph: (612) 347-6450 |
| NPI Number | 1063459485 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063459485 | NPI | - | NPPES |
| 142712100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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