| 612 Mash Incorporated | |
|
730 E 38th St Ste 100 Minneapolis MN 55407-5218 | |
| (612) 598-0338 | |
| Not Available |
| Full Name | 612 Mash Incorporated |
|---|---|
| Speciality | Clinic/center |
| Location | 730 E 38th St Ste 100, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mable Fale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3207748694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 612 Mash Incorporated 730 E 38th St Ste 100 Minneapolis MN 55407-5218 Ph: () - | 612 Mash Incorporated 730 E 38th St Ste 100 Minneapolis MN 55407-5218 Ph: (612) 598-0338 |
| NPI Number | 1578389946 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578389946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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