Minuteclinic Diagnostic Pa

NPI 1194797894 - Physician Assistant - 363A00000X

NPI Details
NPI 1194797894
Enumeration Date 02/06/2006
Last Updated 09/17/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBORAH DEBORAH
Position ADMINISTRATOR
Phone (866) 389-2727
Fax (401) 406-3539
Practice Location
2017 COON RAPIDS BLVD NW
COON RAPIDS MN, 55433-4121, US
Phone (866) 389-2727
Fax (401) 406-3539
Business Location
PO BOX 772
MINUTECLINIC CREDENTIALING MC2295
WOONSOCKET RI, 02895-0784, US
Phone (866) 389-2727
Fax (401) 406-3539
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Minuteclinic Diagnostic Pa NPI is 1194797894, taxonomy code is 363A00000X Minuteclinic Diagnostic Pa physically located at 2017 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-4121. NPI Number 1033115704 has the healthcare provider type.

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1194797894 NPI number is provided on an as is basis without warranty of any kind. 1194797894 is maintained by the National Plan & Provider Enumeration System. The contents of Minuteclinic Diagnostic Pa are for informational purposes only.