| Total Healthcare And Physical Medicine Pllc. | |
|
2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 | |
| (651) 636-5560 | |
| (651) 636-4406 |
| Full Name | Total Healthcare And Physical Medicine Pllc. |
|---|---|
| Speciality | General Practice |
| Location | 2151 Hamline Ave N, Roseville, Minnesota |
| Authorized Official Name and Position | Koula Vang (OFFICE MANAGER) |
| Authorized Official Contact | 6516365560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Healthcare And Physical Medicine Pllc. 2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 Ph: (651) 636-5560 | Total Healthcare And Physical Medicine Pllc. 2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 Ph: (651) 636-5560 |
| NPI Number | 1629373246 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629373246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 30851 (Minnesota) | Primary |
| 363L00000X | Nurse Practitioner | 13954 (Minnesota) | Secondary |
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