| Hope Medical Clinic Llc | |
|
200 W Lake St Minneapolis MN 55408-3023 | |
| (952) 219-2773 | |
| Not Available |
| Full Name | Hope Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Lake St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Judith Wanyama (PROVIDER) |
| Authorized Official Contact | 7633772069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Clinic Llc 7325 Zane Ave N Brooklyn Park MN 55443-3113 Ph: (763) 377-2069 | Hope Medical Clinic Llc 200 W Lake St Minneapolis MN 55408-3023 Ph: (952) 219-2773 |
| NPI Number | 1407496219 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407496219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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