Impact Physical Medicine | |
1600 University Ave W Ste 10 Saint Paul MN 55104-3898 | |
(651) 646-7246 | |
(651) 641-0726 |
Full Name | Impact Physical Medicine |
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Speciality | Clinic/center |
Location | 1600 University Ave W Ste 10, Saint Paul, Minnesota |
Authorized Official Name and Position | Cynthia Jane Mueller (OCCUPATIONAL THERAPIST) |
Authorized Official Contact | 6122502995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Impact Physical Medicine 1600 University Ave W Ste 10 Saint Paul MN 55104-3898 Ph: (651) 646-7246 | Impact Physical Medicine 1600 University Ave W Ste 10 Saint Paul MN 55104-3898 Ph: (651) 646-7246 |
NPI Number | 1689021586 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 05/20/2016 |
Identifier | Type | State | Issuer |
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1689021586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 105096 (Minnesota) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |