Minute Health Llc | |
4039 Brookside Ave Saint Louis Park MN 55416-2808 | |
(612) 473-9392 | |
(612) 355-6540 |
Full Name | Minute Health Llc |
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Speciality | Clinic/Center |
Location | 4039 Brookside Ave, Saint Louis Park, Minnesota |
Authorized Official Name and Position | Ismail Mualin (OWNER) |
Authorized Official Contact | 6193944066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minute Health Llc 11123 Cresthaven Trl Woodbury MN 55129-6803 Ph: (619) 394-4066 | Minute Health Llc 4039 Brookside Ave Saint Louis Park MN 55416-2808 Ph: (612) 473-9392 |
NPI Number | 1891367728 |
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Provider Enumeration Date | 07/12/2021 |
Last Update Date | 10/23/2024 |
Medicare PECOS PAC ID | 6901331719 |
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Medicare Enrollment ID | O20241202003589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891367728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ismail Hassan Mualin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801012083 PECOS PAC ID: 1951402718 Enrollment ID: I20070723000864 |
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