| Mbh-mn Medical Clinic Pa | |
|
550 Main St Ste 260 New Brighton MN 55112-3273 | |
| (612) 326-7558 | |
| Not Available |
| Full Name | Mbh-mn Medical Clinic Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 550 Main St Ste 260, New Brighton, Minnesota |
| Authorized Official Name and Position | Bud Lile (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 6122327558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbh-mn Medical Clinic Pa 550 Main St # 190 New Brighton MN 55112-3271 Ph: (612) 454-2046 | Mbh-mn Medical Clinic Pa 550 Main St Ste 260 New Brighton MN 55112-3273 Ph: (612) 326-7558 |
| NPI Number | 1922586270 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922586270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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