institution
Bloomington Lake Clinic, Ltd
Multi-Specialty Clinic/Center in Bloomington, Minnesota
NPI 1215090501

Bloomington Lake Clinic, Ltd is a Multi-Specialty Clinic/Center based in Bloomington, MN and is specialized in Multi-Specialty. Bloomington Lake Clinic, Ltd practices in Bloomington, MN. The NPI Number for Bloomington Lake Clinic, Ltd is 1215090501 and holds a License No. 23 (Minnesota).

The current practice location address for Bloomington Lake Clinic, Ltd is 7901 Xerxes Ave S Ste 116, Bloomington, MN and can be reached out via phone at 952-888-2024 and via fax at 952-888-3985.

Location: 7901 Xerxes Ave S Ste 116, Bloomington, MN, 55431-1200
institution
Provider Profile Details
NPI Number
1215090501
Provider Name
Bloomington Lake Clinic, Ltd
Credential
Provider Entity Type
Organization
Address
7901 Xerxes Ave S Ste 116, Bloomington, MN, 55431-1200
Phone Number
952-888-2024
Fax Number
952-888-3985
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1713 01 MN HEALTH PARTNERS
302510100 05 MN
C406 01 MN UCARE MINNESOTA
institution
Provider Business Practice Location Address Details
Address
7901 Xerxes Ave S Ste 116
City
State
Zip
55431-1200
Phone Number
952-888-2024
Fax Number
952-888-3985
person
Provider Business Mailing Address Details
Address
7901 Xerxes Ave S Ste 116
City
State
Zip
55431-1200
Phone Number
952-888-2024
Fax Number
952-888-3985
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
23 (Minnesota)
Definition
Definition to come...
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