institution
Minnesota Personalized Medicine Llc
Medical Specialty Clinic/Center in Minneapolis, Minnesota
NPI 1760144679

Minnesota Personalized Medicine Llc is a Medical Specialty Clinic/Center based in Minneapolis, MN and is specialized in Medical Specialty. Minnesota Personalized Medicine Llc practices in Minneapolis, MN. The NPI Number for Minnesota Personalized Medicine Llc is 1760144679 and holds a License No. (Minnesota).

The current practice location address for Minnesota Personalized Medicine Llc is 1409 Willow St Ste 501, Minneapolis, MN and can be reached out via phone at 612-345-5029 and via fax at 612-392-3957. You can also correspond with Minnesota Personalized Medicine Llc through the mailing address at 1409 WILLOW ST STE 501, MINNEAPOLIS, MN - 55403-3288 (mailing address contact number: 612-345-5029).

Location: 1409 Willow St Ste 501, Minneapolis, MN, 55403-3288
institution
Provider Profile Details
NPI Number
1760144679
Provider Name
Minnesota Personalized Medicine Llc
Credential
Provider Entity Type
Organization
Address
1409 Willow St Ste 501, Minneapolis, MN, 55403-3288
Phone Number
612-345-5029
Fax Number
612-392-3957
Provider Enumeration Date
10/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34265 01 MN MEDICAL LICENSE
47498 01 MN MEDICAL LICENSE
43318 01 MN MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1409 Willow St Ste 501
City
State
Zip
55403-3288
Phone Number
612-345-5029
Fax Number
612-392-3957
person
Provider Business Mailing Address Details
Address
1409 Willow St Ste 501
City
State
Zip
55403-3288
Phone Number
612-345-5029
Fax Number
612-392-3957
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
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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