| Population Health Management Pc | |
|
4142 Shoreline Dr Spring Park MN 55384-9629 | |
| (866) 305-0622 | |
| Not Available |
| Full Name | Population Health Management Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4142 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Damon Kenton (CEO) |
| Authorized Official Contact | 6124700044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Population Health Management Pc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: (866) 305-0622 | Population Health Management Pc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: (866) 305-0622 |
| NPI Number | 1306518303 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306518303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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