| Silver Lake Clinic | |
|
2600 39th Ave Ne St Anthony MN 55421-4372 | |
| (612) 706-2900 | |
| (612) 706-2901 |
| Full Name | Silver Lake Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2600 39th Ave Ne, St Anthony, Minnesota |
| Authorized Official Name and Position | Patrick Boran (CHIEF FINANCIAL OFFICER, VP FINANCE) |
| Authorized Official Contact | 7635205048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Clinic 2600 39th Ave Ne St Anthony MN 55421-4372 Ph: (612) 706-2900 | Silver Lake Clinic 2600 39th Ave Ne St Anthony MN 55421-4372 Ph: (612) 706-2900 |
| NPI Number | 1053347179 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053347179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
St Anthony Optometric Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2929 Pentagon Dr, St Anthony, MN 55418 Phone: 612-781-4730 Fax: 612-706-2337 |