Corban Health Care, Pllc | |
5141 36th Ave S Minneapolis MN 55417-1518 | |
(612) 644-9047 | |
Not Available |
Full Name | Corban Health Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 5141 36th Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Connie Marie Carleen (SOLE OWNER/MANAGER) |
Authorized Official Contact | 6126449047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corban Health Care, Pllc 5141 36th Ave S Minneapolis MN 55417-1518 Ph: (612) 644-9047 | Corban Health Care, Pllc 5141 36th Ave S Minneapolis MN 55417-1518 Ph: (612) 644-9047 |
NPI Number | 1013226844 |
---|---|
Provider Enumeration Date | 09/28/2010 |
Last Update Date | 09/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013226844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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