institution
Little Canada Medical Clinic
Primary Care Clinic/Center in Little Canada, Minnesota
NPI 1174836597

Little Canada Medical Clinic is a Primary Care Clinic/Center based in Little Canada, MN and is specialized in Primary Care. Little Canada Medical Clinic practices in Little Canada, MN. The NPI Number for Little Canada Medical Clinic is 1174836597 and holds a License No. 20780 (Minnesota).

The current practice location address for Little Canada Medical Clinic is 75 Little Canada Rd W, Little Canada, MN and can be reached out via phone at 651-481-1119 and via fax at 651-481-1476.

Location: 75 Little Canada Rd W, Little Canada, MN, 55117-1362
institution
Provider Profile Details
NPI Number
1174836597
Provider Name
Little Canada Medical Clinic
Credential
Provider Entity Type
Organization
Address
75 Little Canada Rd W, Little Canada, MN, 55117-1362
Phone Number
651-481-1119
Fax Number
651-481-1476
Provider Enumeration Date
07/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D80937 01 MN UPIN
0123164 01 MN MEDICA
263273000 05 MN
20504LI 01 MN BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
75 Little Canada Rd W
City
State
Zip
55117-1362
Phone Number
651-481-1119
Fax Number
651-481-1476
person
Provider Business Mailing Address Details
Address
75 Little Canada Rd W
City
State
Zip
55117-1362
Phone Number
651-481-1119
Fax Number
651-481-1476
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
20780 (Minnesota)
Definition
Definition to come...
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