| Rising Phoenix Natural Health, Pllc | |
|
105 Center Ave N Madelia MN 56062-1429 | |
| (507) 412-1219 | |
| Not Available |
| Full Name | Rising Phoenix Natural Health, Pllc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 105 Center Ave N, Madelia, Minnesota |
| Authorized Official Name and Position | Brian P Di Diego (OWNER/PRACTITIONER) |
| Authorized Official Contact | 5074121219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Natural Health, Pllc 47544 105th St Truman MN 56088-2172 Ph: (520) 227-1505 | Rising Phoenix Natural Health, Pllc 105 Center Ave N Madelia MN 56062-1429 Ph: (507) 412-1219 |
| NPI Number | 1528786324 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528786324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |