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201 E Nicollet Blvd Burnsville MN 55337-5714 | |
(952) 892-2000 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
Authorized Official Name and Position | Maureen Ring (DIRECTOR, NETWORK RELATIONS) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | 201 E Nicollet Blvd Burnsville MN 55337-5714 Ph: (952) 892-2000 |
NPI Number | 1568070936 |
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Provider Enumeration Date | 07/21/2020 |
Last Update Date | 11/20/2023 |
Identifier | Type | State | Issuer |
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1568070936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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