| Revival Wellness Llc | |
|
511 Oregon Ave Pdt Suite B3 Morris MN 56267 | |
| (320) 491-0594 | |
| (320) 491-0594 |
| Full Name | Revival Wellness Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 511 Oregon Ave Pdt Suite B3, Morris, Minnesota |
| Authorized Official Name and Position | Nathan Bryant Malek (CEO) |
| Authorized Official Contact | 3204910594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Wellness Llc 511 Oregon Ave Morris MN 56267-3712 Ph: (320) 491-0594 | Revival Wellness Llc 511 Oregon Ave Pdt Suite B3 Morris MN 56267 Ph: (320) 491-0594 |
| NPI Number | 1790653533 |
|---|---|
| Provider Enumeration Date | 10/24/2025 |
| Last Update Date | 10/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790653533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Stevens Community Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 East 1st Street, Morris, MN 56267 Phone: 320-589-1313 Fax: 320-589-1085 | |
West Central Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 E 7th St, Morris, MN 56267 Phone: 320-589-4008 Fax: 320-589-4227 | |
Stevens Community Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 E 1st St, Morris, MN 56267 Phone: 320-589-1313 Fax: 320-589-1065 |