| Minnesota Vitality And Anti-aging Center | |
|
520 Highway 96 W Ste 200 Shoreview MN 55126-1963 | |
| (651) 374-4014 | |
| (651) 374-4019 |
| Full Name | Minnesota Vitality And Anti-aging Center |
|---|---|
| Speciality | Clinic/center |
| Location | 520 Highway 96 W Ste 200, Shoreview, Minnesota |
| Authorized Official Name and Position | Heather Manship (CO-FOUNDER) |
| Authorized Official Contact | 6512452454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Vitality And Anti-aging Center 520 Highway 96 W Ste 200 Shoreview MN 55126-1963 Ph: (651) 374-4014 | Minnesota Vitality And Anti-aging Center 520 Highway 96 W Ste 200 Shoreview MN 55126-1963 Ph: (651) 374-4014 |
| NPI Number | 1598330219 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598330219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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