| Stable Space | |
|
548 Lomianki Ln Ne Columbia Heights MN 55421-5031 | |
| (651) 410-7615 | |
| Not Available |
| Full Name | Stable Space |
|---|---|
| Speciality | Clinic/center |
| Location | 548 Lomianki Ln Ne, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Yasin Bune (OWNER) |
| Authorized Official Contact | 6514107615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stable Space 548 Lomianki Ln Ne Columbia Heights MN 55421-5031 Ph: (651) 410-7615 | Stable Space 548 Lomianki Ln Ne Columbia Heights MN 55421-5031 Ph: (651) 410-7615 |
| NPI Number | 1215795745 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215795745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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