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Minnesota Vitality And Anti-aging Center
Clinic/Center in Shoreview, Minnesota
NPI 1598330219

Minnesota Vitality And Anti-aging Center is a Clinic/Center based in Shoreview, MN. Minnesota Vitality And Anti-aging Center practices in Shoreview, MN. The NPI Number for Minnesota Vitality And Anti-aging Center is 1598330219 and holds a License No. (Minnesota).

The current practice location address for Minnesota Vitality And Anti-aging Center is 520 Highway 96 W Ste 200, Shoreview, MN and can be reached out via phone at 651-374-4014 and via fax at 651-374-4019.

Location: 520 Highway 96 W Ste 200, Shoreview, MN, 55126-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598330219
Provider Name
Minnesota Vitality And Anti-aging Center
Credential
Provider Entity Type
Organization
Address
520 Highway 96 W Ste 200, Shoreview, MN, 55126-1963
Phone Number
651-374-4014
Fax Number
651-374-4019
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 Highway 96 W Ste 200
City
Shoreview
State
Minnesota
Zip
55126-1963
Phone Number
651-374-4014
Fax Number
651-374-4019
person
Provider Business Mailing Address Details
Address
520 Highway 96 W Ste 200
City
Shoreview
State
Minnesota
Zip
55126-1963
Phone Number
651-374-4014
Fax Number
651-374-4019
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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