| Mary M. Trites, P.a. | |
|
1303 29th Ave Nw New Brighton MN 55112-6386 | |
| (651) 249-7890 | |
| (888) 582-8339 |
| Full Name | Mary M. Trites, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1303 29th Ave Nw, New Brighton, Minnesota |
| Authorized Official Name and Position | Mary Moe Trites (PRESIDENT) |
| Authorized Official Contact | 6512497890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M. Trites, P.a. 1303 29th Ave Nw New Brighton MN 55112-6386 Ph: (651) 249-7890 | Mary M. Trites, P.a. 1303 29th Ave Nw New Brighton MN 55112-6386 Ph: (651) 249-7890 |
| NPI Number | 1740624733 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740624733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26084 (Minnesota) | Primary |
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