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Vein Clinic Pa
Medical Specialty Clinic/Center in Lakeville, Minnesota
NPI 1457667784

Vein Clinic Pa is a Medical Specialty Clinic/Center based in Chanhassen, MN and is specialized in Medical Specialty. Vein Clinic Pa practices in Lakeville, MN. The NPI Number for Vein Clinic Pa is 1457667784 and holds a License No. (Minnesota).

The current practice location address for Vein Clinic Pa is 16372 Kenrick Ave, Lakeville, MN and can be reached out via phone at 952-892-1222 and via fax at 952-892-1221.

Location: 16372 Kenrick Ave, Lakeville, MN, 55317-4524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457667784
Provider Name
Vein Clinic Pa
Credential
Provider Entity Type
Organization
Address
16372 Kenrick Ave, Lakeville, MN, 55317-4524
Phone Number
952-892-1222
Fax Number
952-892-1221
Provider Enumeration Date
08/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C05399 01 MN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
16372 Kenrick Ave
City
Lakeville
State
Minnesota
Zip
55044-3540
Phone Number
952-892-1222
Fax Number
952-892-1221
person
Provider Business Mailing Address Details
Address
16372 Kenrick Ave
City
Lakeville
State
Minnesota
Zip
55044-3540
Phone Number
952-892-1222
Fax Number
952-892-1221
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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