| Realief Medical P.a. | |
|
1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 | |
| (952) 456-6160 | |
| (952) 456-6184 |
| Full Name | Realief Medical P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1660 Highway 100 S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Jessica Haley (OPERATIONS MANAGER) |
| Authorized Official Contact | 9524566160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Realief Medical P.a. 1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 Ph: (952) 456-6160 | Realief Medical P.a. 1660 Highway 100 S Suite 229 St Louis Park MN 55416-1529 Ph: (952) 456-6160 |
| NPI Number | 1508102500 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508102500 | NPI | - | NPPES |
| C09271 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 24538 (Minnesota) | Primary |
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