| New Diagnosis LLC | |
|
6108 Westbridge Blvd Minneapolis MN 55436 | |
| (320) 492-7262 | |
| Not Available |
| Full Name | New Diagnosis LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6108 Westbridge Blvd, Minneapolis, Minnesota |
| Authorized Official Name and Position | David Micahel Williams (SOLE MEMBER) |
| Authorized Official Contact | 3202902025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Diagnosis LLC 6108 Westbridge Blvd Minneapolis MN 55436 Ph: (320) 492-7262 | New Diagnosis LLC 6108 Westbridge Blvd Minneapolis MN 55436 Ph: (320) 492-7262 |
| NPI Number | 1366112260 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366112260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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