| Corner Family Clinic | |
|
6603 Queen Ave S Ste S Richfield MN 55423-2065 | |
| (612) 450-4746 | |
| (612) 249-7859 |
| Full Name | Corner Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6603 Queen Ave S Ste S, Richfield, Minnesota |
| Authorized Official Name and Position | Yvonne K Wirsiy (MANAGER) |
| Authorized Official Contact | 9523569365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corner Family Clinic 6603 Queen Ave S Ste S Richfield MN 55423-2065 Ph: (612) 450-4746 | Corner Family Clinic 6603 Queen Ave S Ste S Richfield MN 55423-2065 Ph: (612) 450-4746 |
| NPI Number | 1437884830 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 1850761917 |
|---|---|
| Medicare Enrollment ID | O20230105002516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437884830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Yvonne Wirsiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366868861 PECOS PAC ID: 1355744871 Enrollment ID: I20210721003030 |
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