| If | |
|
6770 Stillwater Blvd N Ste 200 Stillwater MN 55082-5438 | |
| (612) 839-8350 | |
| Not Available |
| Full Name | If |
|---|---|
| Speciality | Clinic/center |
| Location | 6770 Stillwater Blvd N Ste 200, Stillwater, Minnesota |
| Authorized Official Name and Position | Alison Campbell (OWNER) |
| Authorized Official Contact | 6128398350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| If 6770 Stillwater Blvd N Ste 200 Stillwater MN 55082-5438 Ph: () - | If 6770 Stillwater Blvd N Ste 200 Stillwater MN 55082-5438 Ph: (612) 839-8350 |
| NPI Number | 1700748142 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700748142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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