Rehabilitation Medicine Physicians Llc

NPI 1114313798 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1114313798
Enumeration Date 04/10/2015
Last Updated 03/24/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHARLES CHARLES
Position OWNER
Phone (984) 377-3422
Fax (845) 698-6174
Practice Location
8400 NORMANDALE LAKE BLVD
STE 920
BLOOMINGTON MN, 55437-1085, US
Phone (984) 377-3422
Fax (845) 698-6174
Business Location
631 CLEVELAND AVE S STE 5
SAINT PAUL MN, 55116-1244, US
Phone (612) 516-5558
Fax
Toxanomy
Taxonomy Code 208100000X
License State Minnesota
License Number 57253
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According to our database, Rehabilitation Medicine Physicians Llc NPI is 1114313798, taxonomy code is 208100000X and license number is 57253, license state is located at Minnesota. Rehabilitation Medicine Physicians Llc physically located at 8400 Normandale Lake Blvd, Bloomington MN, 55437-1085. NPI Number 1033115704 has the healthcare provider type.

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1114313798 NPI number is provided on an as is basis without warranty of any kind. 1114313798 is maintained by the National Plan & Provider Enumeration System. The contents of Rehabilitation Medicine Physicians Llc are for informational purposes only.