| Passport Health | |
|
6700 France Ave S #150 Edina MN 55435-1902 | |
| (952) 922-9089 | |
| (952) 922-2215 |
| Full Name | Passport Health |
|---|---|
| Speciality | Clinic/center |
| Location | 6700 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Judy Julsrud (OWNER) |
| Authorized Official Contact | 9529229089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passport Health 6700 France Ave S #150 Edina MN 55435-1902 Ph: (952) 922-9089 | Passport Health 6700 France Ave S #150 Edina MN 55435-1902 Ph: (952) 922-9089 |
| NPI Number | 1033344064 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033344064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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