Ilko Family Medicine Pa

NPI 1124281571 - Family Medicine - 207Q00000X

NPI Details
NPI 1124281571
Enumeration Date 07/07/2008
Last Updated 02/02/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LISA LISA
Position MANAGER
Phone (651) 209-6685
Fax (651) 209-1680
Practice Location
1687 WOODLANE DR
SUITE 102
WOODBURY MN, 55125-3045, US
Phone (651) 209-6685
Fax (651) 209-1680
Business Location
PO BOX 25530
WOODBURY MN, 55125-0530, US
Phone (651) 209-6685
Fax (651) 209-1680
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Ilko Family Medicine Pa NPI is 1124281571, taxonomy code is 207Q00000X Ilko Family Medicine Pa physically located at 1687 Woodlane Dr, Woodbury MN, 55125-3045. NPI Number 1033115704 has the healthcare provider type.

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1124281571 NPI number is provided on an as is basis without warranty of any kind. 1124281571 is maintained by the National Plan & Provider Enumeration System. The contents of Ilko Family Medicine Pa are for informational purposes only.