| Corban Health Care, Pllc | |
|
5141 36th Ave S Minneapolis MN 55417-1518 | |
| (612) 644-9047 | |
| Not Available |
| Full Name | Corban Health Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5141 36th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Connie Marie Carleen (SOLE OWNER/MANAGER) |
| Authorized Official Contact | 6126449047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corban Health Care, Pllc 5141 36th Ave S Minneapolis MN 55417-1518 Ph: (612) 644-9047 | Corban Health Care, Pllc 5141 36th Ave S Minneapolis MN 55417-1518 Ph: (612) 644-9047 |
| NPI Number | 1013226844 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013226844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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