Genesis Disc Institute

NPI 1427135045 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1427135045
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID MARK DAVID
Position OWNER
Phone (651) 702-7800
Fax (651) 702-7804
Practice Location
8425 SEASONS PKWY STE 104B
WOODBURY MN, 55125-5403, US
Phone (651) 702-7800
Fax (651) 702-7804
Business Location
8425 SEASONS PKWY STE 104B
WOODBURY MN, 55125-5403, US
Phone (651) 702-7800
Fax (651) 702-7804
Toxanomy
Taxonomy Code 302F00000X
License State Minnesota
License Number 3581
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According to our database, Genesis Disc Institute NPI is 1427135045, taxonomy code is 302F00000X and license number is 3581, license state is located at Minnesota. Genesis Disc Institute physically located at 8425 Seasons Pkwy Ste 104b, Woodbury MN, 55125-5403. NPI Number 1033115704 has the healthcare provider type.

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1427135045 NPI number is provided on an as is basis without warranty of any kind. 1427135045 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Disc Institute are for informational purposes only.