| University Of Minnesota Physicians | |
|
814 South 3rd St Minneapolis MN 55415 | |
| (612) 888-9792 | |
| (612) 888-9762 |
| Full Name | University Of Minnesota Physicians |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 814 South 3rd St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mary A Johnson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6128840802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Minnesota Physicians 6300 Shingle Creek Parkway Suite 600 Brooklyn Center MN 55430-2127 Ph: (763) 782-6400 | University Of Minnesota Physicians 814 South 3rd St Minneapolis MN 55415 Ph: (612) 888-9792 |
| NPI Number | 1730586819 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730586819 | NPI | - | NPPES |
| C02390 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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