institution
Provax Llc
Community Health Clinic/Center in Chanhassen, Minnesota
NPI 1619202934

Provax Llc is a Community Health Clinic/Center based in Chanhassen, MN and is specialized in Community Health. Provax Llc practices in Chanhassen, MN. The NPI Number for Provax Llc is 1619202934 and holds a License No. R106374-5 (Minnesota).

The current practice location address for Provax Llc is 2018 Stone Creek Dr, Chanhassen, MN and can be reached out via phone at 952-470-6005.

Location: 2018 Stone Creek Dr, Chanhassen, MN, 55317-7410
institution
Provider Profile Details
NPI Number
1619202934
Provider Name
Provax Llc
Credential
Provider Entity Type
Organization
Address
2018 Stone Creek Dr, Chanhassen, MN, 55317-7410
Phone Number
952-470-6005
Fax Number
Provider Enumeration Date
10/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2018 Stone Creek Dr
City
State
Zip
55317-7410
Phone Number
952-470-6005
Fax Number
person
Provider Business Mailing Address Details
Address
2018 Stone Creek Dr
City
State
Zip
55317-7410
Phone Number
952-470-6005
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
R106374-5 (Minnesota)
Definition
Definition to come...
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