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Ambulatory Health Care Facilities Clinic/Center Urgent Care

Provider NPI: 1225588833

Organization Information:
Organization is Subpart
Authorized Official:  JOSEPH T MALLAS  SECRETARY  661-678-2600

Practice Location:
7550 34TH AVE S  MINNEAPOLIS, MN 55450-1124 US
Tel: 612-727-1167  Fax: --

Business Mailing Address:
Tel: 661-678-2600  Fax: --

NPI Information:
NPI: 1225588833
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QU0200XAmbulatory Health Care Facilities
Urgent Care
Preventive Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2083P0500X





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