Realief Medical P.a. | |
1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 | |
(952) 456-6160 | |
(952) 456-6184 |
Full Name | Realief Medical P.a. |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1660 Highway 100 S, St Louis Park, Minnesota |
Authorized Official Name and Position | Jessica Haley (OPERATIONS MANAGER) |
Authorized Official Contact | 9524566160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Realief Medical P.a. 1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 Ph: (952) 456-6160 | Realief Medical P.a. 1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 Ph: (952) 456-6160 |
NPI Number | 1508102500 |
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Provider Enumeration Date | 12/19/2012 |
Last Update Date | 09/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508102500 | NPI | - | NPPES |
C09271 | Other | MN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 24538 (Minnesota) | Primary |
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