| Regenerative Medicine Ctr MN | |
|
201 5th St Ne Ste 4 Buffalo MN 55313-5405 | |
| (763) 682-0611 | |
| Not Available |
| Full Name | Regenerative Medicine Ctr MN |
|---|---|
| Speciality | Family Medicine |
| Location | 201 5th St Ne Ste 4, Buffalo, Minnesota |
| Authorized Official Name and Position | Maudie Louisiana (OWNER) |
| Authorized Official Contact | 7636820611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medicine Ctr MN 201 5th St Ne Ste 4 Buffalo MN 55313-5405 Ph: (763) 682-0611 | Regenerative Medicine Ctr MN 201 5th St Ne Ste 4 Buffalo MN 55313-5405 Ph: (763) 682-0611 |
| NPI Number | 1174183040 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174183040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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