Midway Medical Clinic Steven P. Radjenovich D.o. Llc

NPI 1184610974 - Family Medicine - 207Q00000X

NPI Details
NPI 1184610974
Enumeration Date 09/27/2005
Last Updated 01/31/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEVEN PERL STEVEN
Position PRESIDENT
Phone (320) 763-6452
Fax (320) 763-2971
Practice Location
119 30TH AVE W
ALEXANDRIA MN, 56308-3433, US
Phone (320) 763-6452
Fax (320) 763-2971
Business Location
119 30TH AVE W
ALEXANDRIA MN, 56308-3433, US
Phone (320) 763-6452
Fax (320) 763-2971
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 22233
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According to our database, Midway Medical Clinic Steven P. Radjenovich D.o. Llc NPI is 1184610974, taxonomy code is 207Q00000X and license number is 22233, license state is located at Minnesota. Midway Medical Clinic Steven P. Radjenovich D.o. Llc physically located at 119 30th Ave W, Alexandria MN, 56308-3433. NPI Number 1033115704 has the healthcare provider type.

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1184610974 NPI number is provided on an as is basis without warranty of any kind. 1184610974 is maintained by the National Plan & Provider Enumeration System. The contents of Midway Medical Clinic Steven P. Radjenovich D.o. Llc are for informational purposes only.