| Minnesota Arthritis Center, Pa | |
|
2785 White Bear Ave N Suite 108b Maplewood MN 55109-1307 | |
| (651) 282-0948 | |
| (651) 415-0106 |
| Full Name | Minnesota Arthritis Center, Pa |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2785 White Bear Ave N, Maplewood, Minnesota |
| Authorized Official Name and Position | Nancy L Moyer (OWNER / PROVIDER) |
| Authorized Official Contact | 6512820948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Arthritis Center, Pa 2785 White Bear Ave N Suite 108 B Maplewood MN 55109-1307 Ph: (651) 282-0948 | Minnesota Arthritis Center, Pa 2785 White Bear Ave N Suite 108b Maplewood MN 55109-1307 Ph: (651) 282-0948 |
| NPI Number | 1740578749 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740578749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35768 (Minnesota) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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