| State Of Minnesota Minnesota Management And Budget | |
|
56 Outer Dr Silver Bay MN 55614-1133 | |
| (218) 353-8700 | |
| (612) 548-5964 |
| Full Name | State Of Minnesota Minnesota Management And Budget |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 56 Outer Dr, Silver Bay, Minnesota |
| Authorized Official Name and Position | Simone Renee Hogan (MDVA CHIEF OPERATIONS DIRECTOR) |
| Authorized Official Contact | 6125054110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Minnesota Minnesota Management And Budget 5101 Minnehaha Ave. S Minneapolis MN 55417-1647 Ph: () - | State Of Minnesota Minnesota Management And Budget 56 Outer Dr Silver Bay MN 55614-1133 Ph: (218) 353-8700 |
| NPI Number | 1083310403 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083310403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |