| Idts Medical, Inc. | |
|
7545 Veterans Dr Ste 200 Ramsey MN 55303-7500 | |
| (612) 295-0121 | |
| Not Available |
| Full Name | Idts Medical, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 7545 Veterans Dr Ste 200, Ramsey, Minnesota |
| Authorized Official Name and Position | Mario Joseph Nozzarella (C.E.O.) |
| Authorized Official Contact | 6122950121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idts Medical, Inc. 7545 Veterans Dr Ste 200 Ramsey MN 55303-7500 Ph: (612) 325-3600 | Idts Medical, Inc. 7545 Veterans Dr Ste 200 Ramsey MN 55303-7500 Ph: (612) 295-0121 |
| NPI Number | 1306590310 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306590310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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