Geriatric Services Of Minnesota, Llc

NPI 1093131419 - Family Medicine - 207QG0300X

NPI Details
NPI 1093131419
Enumeration Date 03/10/2014
Last Updated 02/09/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name NICHOLAS NICHOLAS
Position CEO
Phone (763) 587-7737
Fax (763) 587-7781
Practice Location
3433 BROADWAY ST NE
SUITE 300
MINNEAPOLIS MN, 55413-1761, US
Phone (763) 587-7737
Fax (763) 587-7781
Business Location
3433 BROADWAY ST NE
SUITE 300
MINNEAPOLIS MN, 55413-1761, US
Phone (763) 587-7737
Fax (763) 587-7781
Toxanomy
Taxonomy Code 207QG0300X
License State
License Number
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According to our database, Geriatric Services Of Minnesota, Llc NPI is 1093131419, taxonomy code is 207QG0300X Geriatric Services Of Minnesota, Llc physically located at 3433 Broadway St Ne, Minneapolis MN, 55413-1761. NPI Number 1033115704 has the healthcare provider type.

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1093131419 NPI number is provided on an as is basis without warranty of any kind. 1093131419 is maintained by the National Plan & Provider Enumeration System. The contents of Geriatric Services Of Minnesota, Llc are for informational purposes only.