| Minnhealth - Shoreview | |
|
404 Highway 96 W Shoreview MN 55126-1901 | |
| (651) 483-8283 | |
| (651) 483-8299 |
| Full Name | Minnhealth - Shoreview |
|---|---|
| Speciality | Family Medicine |
| Location | 404 Highway 96 W, Shoreview, Minnesota |
| Authorized Official Name and Position | Keith a Oelschlager (MINNHEALTH PRESIDENT) |
| Authorized Official Contact | 6517660520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnhealth - Shoreview 2025 Sloan Pl Suite 35 Saint Paul MN 55117-2007 Ph: (651) 772-2262 | Minnhealth - Shoreview 404 Highway 96 W Shoreview MN 55126-1901 Ph: (651) 483-8283 |
| NPI Number | 1407073513 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407073513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1124 (Minnesota) | Primary |
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