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301 2nd St Ne New Prague MN 56071-1709 | |
| (952) 758-4431 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 301 2nd St Ne, New Prague, Minnesota |
| Authorized Official Name and Position | Praveen Mekala (CFO) |
| Authorized Official Contact | 5075946449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
301 2nd St Ne New Prague MN 56071-1709 Ph: (952) 758-4431 | 301 2nd St Ne New Prague MN 56071-1709 Ph: (952) 758-4431 |
| NPI Number | 1477089407 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477089407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Sage Weight And Wellness Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Main St W, Suite 130, New Prague, MN 56071 Phone: 952-758-8885 |