| Optage Primary Care, Llc | |
|
2845 Hamline Ave N Roseville MN 55113-7127 | |
| (651) 631-6100 | |
| (651) 631-6343 |
| Full Name | Optage Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2845 Hamline Ave N, Roseville, Minnesota |
| Authorized Official Name and Position | Sharon Klefsaas (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6516316145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optage Primary Care, Llc 2845 Hamline Ave N Roseville MN 55113-7127 Ph: (651) 631-6100 | Optage Primary Care, Llc 2845 Hamline Ave N Roseville MN 55113-7127 Ph: (651) 631-6100 |
| NPI Number | 1760789259 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 09/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760789259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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