| Minnhealth - Banning | |
|
4786 Banning Ave White Bear Lake MN 55110-3264 | |
| (651) 426-6402 | |
| (651) 429-3402 |
| Full Name | Minnhealth - Banning |
|---|---|
| Speciality | Family Medicine |
| Location | 4786 Banning Ave, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Keith A Oelschlager (MINNHEATLH PRESIDENT) |
| Authorized Official Contact | 6517660520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnhealth - Banning 2025 Sloan Pl Suite Saint Paul MN 55117-2007 Ph: (651) 772-2262 | Minnhealth - Banning 4786 Banning Ave White Bear Lake MN 55110-3264 Ph: (651) 426-6402 |
| NPI Number | 1871710988 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871710988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1124 (Minnesota) | Primary |
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