Northern Cardiovascular Clinic, Pa | |
6565 France Ave S Ste 101 Edina MN 55435-2154 | |
(952) 500-0653 | |
(952) 892-0254 |
Full Name | Northern Cardiovascular Clinic, Pa |
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Speciality | Clinic/Center |
Location | 6565 France Ave S Ste 101, Edina, Minnesota |
Authorized Official Name and Position | Dominic A Plucinski (PRESIDENT) |
Authorized Official Contact | 7632294006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Cardiovascular Clinic, Pa 6565 France Ave S Ste 101 Edina MN 55435-2154 Ph: (952) 500-0653 | Northern Cardiovascular Clinic, Pa 6565 France Ave S Ste 101 Edina MN 55435-2154 Ph: (952) 500-0653 |
NPI Number | 1639799323 |
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Provider Enumeration Date | 04/22/2020 |
Last Update Date | 04/22/2020 |
Medicare PECOS PAC ID | 6608291455 |
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Medicare Enrollment ID | O20200811000241 |
Identifier | Type | State | Issuer |
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1639799323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Dominic A Plucinski |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1902856974 PECOS PAC ID: 8426957580 Enrollment ID: I20050504000103 |
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