| Oakdale Family Practice, Pc | |
|
3366 Oakdale Ave N Suite 403 Robbinsdale MN 55422-2948 | |
| (763) 529-9131 | |
| (763) 529-5519 |
| Full Name | Oakdale Family Practice, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 3366 Oakdale Ave N, Robbinsdale, Minnesota |
| Authorized Official Name and Position | Gene Wayne Velasco (OWNER) |
| Authorized Official Contact | 7635299131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakdale Family Practice, Pc 3366 Oakdale Ave N Suite 403 Robbinsdale MN 55422-2948 Ph: (763) 529-9131 | Oakdale Family Practice, Pc 3366 Oakdale Ave N Suite 403 Robbinsdale MN 55422-2948 Ph: (763) 529-9131 |
| NPI Number | 1841388964 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841388964 | NPI | - | NPPES |
| CH8589 | Other | RAILROAD MEDICARE | |
| NA376 | Other | MN | PREFERRED ONE |
| 767798700 | Medicaid | MN | |
| 487659600 | Other | DEPT OF LABOR | |
| P153 | Other | MN | UCARE |
| 06744HA | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 24D0670882 (Minnesota) | Primary |
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