Well Medical Pa

NPI 1003245929 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003245929
Enumeration Date 11/01/2013
Last Updated 11/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANNA L ANNA
Position OFFICE MANAGER
Phone (651) 451-3311
Fax (651) 451-3377
Practice Location
2125 UPPER 55TH ST E
SUITE 250
INVER GROVE HEIGHTS MN, 55077-1734, US
Phone (651) 451-3311
Fax (651) 451-3377
Business Location
2125 UPPER 55TH ST E
SUITE 250
INVER GROVE HEIGHTS MN, 55077-1734, US
Phone (651) 451-3311
Fax (651) 451-3377
Toxanomy
Taxonomy Code 363L00000X
License State Minnesota
License Number 0212447
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According to our database, Well Medical Pa NPI is 1003245929, taxonomy code is 363L00000X and license number is 0212447, license state is located at Minnesota. Well Medical Pa physically located at 2125 Upper 55th St E, Inver Grove Heights MN, 55077-1734. NPI Number 1033115704 has the healthcare provider type.

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1003245929 NPI number is provided on an as is basis without warranty of any kind. 1003245929 is maintained by the National Plan & Provider Enumeration System. The contents of Well Medical Pa are for informational purposes only.