| Thanacare, LLC | |
|
3621 Abbott Ave S Minneapolis MN 55410-1033 | |
| (855) 698-4262 | |
| Not Available |
| Full Name | Thanacare, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3621 Abbott Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Justin Hallen (VICE PRESIDENT) |
| Authorized Official Contact | 7633605135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanacare, LLC 3621 Abbott Ave S Minneapolis MN 55410-1033 Ph: (855) 698-4262 | Thanacare, LLC 3621 Abbott Ave S Minneapolis MN 55410-1033 Ph: (855) 698-4262 |
| NPI Number | 1679149389 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679149389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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