| In-home Clinic Connection Pc | |
|
4570 W 77th St Suite 165 Edina MN 55435-5008 | |
| (952) 230-7633 | |
| (952) 842-9001 |
| Full Name | In-home Clinic Connection Pc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4570 W 77th St, Edina, Minnesota |
| Authorized Official Name and Position | Kathleen Joy Valusek (CEO) |
| Authorized Official Contact | 9528429000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In-home Clinic Connection Pc 4570 W 77th St Suite 165 Edina MN 55435-5008 Ph: (952) 230-7633 | In-home Clinic Connection Pc 4570 W 77th St Suite 165 Edina MN 55435-5008 Ph: (952) 230-7633 |
| NPI Number | 1093942195 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 03/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093942195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PENDING (* (Not Available)) | Primary |
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