Premise Health Of Minnesota Medical P C | |
2222 18th Ave Nw Ste 101 Rochester MN 55901-7952 | |
(651) 287-0185 | |
Not Available |
Full Name | Premise Health Of Minnesota Medical P C |
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Speciality | Clinic/center - Multi-specialty |
Location | 2222 18th Ave Nw Ste 101, Rochester, Minnesota |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premise Health Of Minnesota Medical P C 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Minnesota Medical P C 2222 18th Ave Nw Ste 101 Rochester MN 55901-7952 Ph: (651) 287-0185 |
NPI Number | 1558083303 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 09/16/2022 |
Identifier | Type | State | Issuer |
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1558083303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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