| Lindamaachllc | |
|
5200 Willson Rd Suite 405 Edina MN 55424-1332 | |
| (952) 920-8118 | |
| Not Available |
| Full Name | Lindamaachllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5200 Willson Rd, Edina, Minnesota |
| Authorized Official Name and Position | Linda Maach (PRESIDENT) |
| Authorized Official Contact | 9529208118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindamaachllc 5200 Willson Rd Suite 405 Edina MN 55424-1332 Ph: (952) 920-8118 | Lindamaachllc 5200 Willson Rd Suite 405 Edina MN 55424-1332 Ph: (952) 920-8118 |
| NPI Number | 1821397803 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Medicare PECOS PAC ID | 7618112061 |
|---|---|
| Medicare Enrollment ID | O20130408000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821397803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 267999 (Minnesota) | Primary |
| Provider Name | Linda L Maach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245495969 PECOS PAC ID: 3678567807 Enrollment ID: I20040412000876 |
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