| Novus Healthcare Group, Llc | |
|
4004 Shoreline Dr Spring Park MN 55384-9656 | |
| (612) 242-9517 | |
| Not Available |
| Full Name | Novus Healthcare Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4004 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Damon Kenton (C.E.O.) |
| Authorized Official Contact | 6122429517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Healthcare Group, Llc 4004 Shoreline Dr Spring Park MN 55384-9656 Ph: (612) 242-9517 | Novus Healthcare Group, Llc 4004 Shoreline Dr Spring Park MN 55384-9656 Ph: (612) 242-9517 |
| NPI Number | 1346581485 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 04/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346581485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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