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9000 Plymouth Ave N Minneapolis MN 55427-3899 | |
(763) 764-3952 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 9000 Plymouth Ave N, Minneapolis, Minnesota |
Authorized Official Name and Position | Terry Layman (CORPORATE MEDICAL OFFICER) |
Authorized Official Contact | 3177276898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 Ph: (802) 857-0400 | 9000 Plymouth Ave N Minneapolis MN 55427-3899 Ph: (763) 764-3952 |
NPI Number | 1295492452 |
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Provider Enumeration Date | 11/23/2021 |
Last Update Date | 10/20/2022 |
Identifier | Type | State | Issuer |
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1295492452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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