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9700 France Ave S Bloomington MN 55431-4309 | |
| (952) 487-7020 | |
| (952) 487-7173 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 9700 France Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Craig Erickson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9524878232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9700 France Ave S Bloomington MN 55431-4309 Ph: (952) 487-7020 | 9700 France Ave S Bloomington MN 55431-4309 Ph: (952) 487-7020 |
| NPI Number | 1992851216 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992851216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Primary |
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