Minnesota Natural Medicine | |
3485 Willow Lake Blvd #100 Vadnais Heights MN 55110-5152 | |
(651) 484-5567 | |
Not Available |
Full Name | Minnesota Natural Medicine |
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Speciality | General Practice |
Location | 3485 Willow Lake Blvd, Vadnais Heights, Minnesota |
Authorized Official Name and Position | Jonathan Otten (PHYSICIAN) |
Authorized Official Contact | 6514845567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Minnesota Natural Medicine 3485 Willow Lake Blvd #100 Vadnais Heights MN 55110-5152 Ph: () - | Minnesota Natural Medicine 3485 Willow Lake Blvd #100 Vadnais Heights MN 55110-5152 Ph: (651) 484-5567 |
NPI Number | 1376996132 |
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Provider Enumeration Date | 07/18/2016 |
Last Update Date | 07/18/2016 |
Identifier | Type | State | Issuer |
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1376996132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 1061 (Minnesota) | Primary |
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