| Minneapolis Health Clinic Pllc | |
|
4825 Olson Memorial Hwy. Suite 101 Golden Valley MN 55422 | |
| (763) 496-5708 | |
| (888) 507-5033 |
| Full Name | Minneapolis Health Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4825 Olson Memorial Hwy., Golden Valley, Minnesota |
| Authorized Official Name and Position | Grace A. B. Totoe (DIRECT OWNER) |
| Authorized Official Contact | 2158765703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minneapolis Health Clinic Pllc 4825 Olson Memorial Hwy. Suite 101 Golden Valley MN 55422 Ph: (763) 496-5708 | Minneapolis Health Clinic Pllc 4825 Olson Memorial Hwy. Suite 101 Golden Valley MN 55422 Ph: (763) 496-5708 |
| NPI Number | 1467969907 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 3375807951 |
|---|---|
| Medicare Enrollment ID | O20180507002194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467969907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 53842 (Minnesota) | Primary |
| Provider Name | Grace A Totoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335302 PECOS PAC ID: 3072782929 Enrollment ID: I20110809000860 |
| Provider Name | Erika Lindsey Kuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720546773 PECOS PAC ID: 1355678038 Enrollment ID: I20190805001696 |
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