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4801 Hwy 61 #100 White Bear Lake MN 55110 | |
(651) 429-6401 | |
(651) 429-8930 |
Full Name | |
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Speciality | Clinic/center |
Location | 4801 Hwy 61, White Bear Lake, Minnesota |
Authorized Official Name and Position | John Lundstrom (PRESIDENT/CEO) |
Authorized Official Contact | 6512351403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4801 Hwy 61 #100 White Bear Lake MN 55110 Ph: (651) 429-6401 | 4801 Hwy 61 #100 White Bear Lake MN 55110 Ph: (651) 429-6401 |
NPI Number | 1184939654 |
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Provider Enumeration Date | 08/09/2010 |
Last Update Date | 08/09/2010 |
Identifier | Type | State | Issuer |
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1184939654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2261 (Minnesota) | Primary |
Total Family Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Gun Club Rd, Suite 102, White Bear Lake, MN 55110 Phone: 651-653-2190 | |
Matthew Anderson, M.d. Obstetrics And Gynecology, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 White Bear Pkwy, Suite 2, White Bear Lake, MN 55110 Phone: 651-653-0062 Fax: 651-653-0288 | |
Fairview Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12912 Farnham Ave N, White Bear Lake, MN 55110 Phone: 651-982-7718 | |
Amiot Spine Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 612-396-3010 | |