| Mind Body Medicine Inc. | |
|
8 N 2nd Ave E Suite 209 Duluth MN 55802-2102 | |
| (218) 628-2130 | |
| Not Available |
| Full Name | Mind Body Medicine Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 8 N 2nd Ave E, Duluth, Minnesota |
| Authorized Official Name and Position | Gary G. Kohls (OWNER) |
| Authorized Official Contact | 2186282130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Medicine Inc. 8 N 2nd Ave E Suite 209 Duluth MN 55802-2102 Ph: (218) 628-2130 | Mind Body Medicine Inc. 8 N 2nd Ave E Suite 209 Duluth MN 55802-2102 Ph: (218) 628-2130 |
| NPI Number | 1528246295 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528246295 | NPI | - | NPPES |
| 40M27KO | Other | MN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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