| Midwest Regenerative Medicine Center Pc | |
|
603 N Main St Warren MN 56762-1122 | |
| (218) 745-6655 | |
| Not Available |
| Full Name | Midwest Regenerative Medicine Center Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 603 N Main St, Warren, Minnesota |
| Authorized Official Name and Position | Mark Pederson (OWNER) |
| Authorized Official Contact | 2187456655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Regenerative Medicine Center Pc 603 N Main St Warren MN 56762-1122 Ph: (218) 745-6655 | Midwest Regenerative Medicine Center Pc 603 N Main St Warren MN 56762-1122 Ph: (218) 745-6655 |
| NPI Number | 1245791763 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245791763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Warren Community Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W Good Samaritan Dr, Warren, MN 56762 Phone: 218-745-4211 Fax: 218-745-4215 | |
Altru Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Good Samaritan Dr, Warren, MN 56762 Phone: 218-745-4211 | |
Warren Community Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W Good Samaritan Dr, Warren, MN 56762 Phone: 218-745-4211 Fax: 218-745-4215 |