| Lifeview Care Wisconsin S.c. | |
|
3600 American Blvd W Ste 225 Bloomington MN 55431-4527 | |
| (952) 500-3337 | |
| (855) 715-1907 |
| Full Name | Lifeview Care Wisconsin S.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 3600 American Blvd W Ste 225, Bloomington, Minnesota |
| Authorized Official Name and Position | Thomas Ray Harman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9525003337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeview Care Wisconsin S.c. 901 S Whitney Way Madison WI 53711-2553 Ph: (952) 500-3337 | Lifeview Care Wisconsin S.c. 3600 American Blvd W Ste 225 Bloomington MN 55431-4527 Ph: (952) 500-3337 |
| NPI Number | 1063780658 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063780658 | NPI | - | NPPES |
| 1609853530 | Other | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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