| Gatherwell, Pllc | |
|
17565 Central Ave Ne Ste 220 Ham Lake MN 55304-2230 | |
| (612) 636-1553 | |
| Not Available |
| Full Name | Gatherwell, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 17565 Central Ave Ne Ste 220, Ham Lake, Minnesota |
| Authorized Official Name and Position | Sarah Marie Brown (OWNER) |
| Authorized Official Contact | 6128061546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gatherwell, Pllc 17565 Central Ave Ne Ste 200 Ham Lake MN 55304-2230 Ph: (612) 806-1546 | Gatherwell, Pllc 17565 Central Ave Ne Ste 220 Ham Lake MN 55304-2230 Ph: (612) 636-1553 |
| NPI Number | 1649855479 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 09/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649855479 | NPI | - | NPPES |
| 24D2188982 | Other | MN | CLIA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Crosstown Chiropractic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2330 Crosstown Blvd Ne, Ham Lake, MN 55304 Phone: 763-434-5714 | |
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