Alliance Clinic

NPI 1124317516 - Counselor - 101YA0400X

NPI Details
NPI 1124317516
Enumeration Date 04/06/2011
Last Updated 04/12/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name IRVING IRVING
Position DIRECTOR
Phone (612) 454-2260
Fax
Practice Location
3329 UNIVERSITY AVE SE
MINNEAPOLIS MN, 55414-3325, US
Phone (612) 454-2260
Fax
Business Location
3329 UNIVERSITY AVE SE
MINNEAPOLIS MN, 55414-3325, US
Phone (612) 454-2340
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 302747
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According to our database, Alliance Clinic NPI is 1124317516, taxonomy code is 101YA0400X and license number is 302747, license state is located at Minnesota. Alliance Clinic physically located at 3329 University Ave Se, Minneapolis MN, 55414-3325. NPI Number 1033115704 has the healthcare provider type.

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1124317516 NPI number is provided on an as is basis without warranty of any kind. 1124317516 is maintained by the National Plan & Provider Enumeration System. The contents of Alliance Clinic are for informational purposes only.