Genovations Regen Pllc | |
2228 James St Eagan MN 55122-2336 | |
(210) 630-0146 | |
Not Available |
Full Name | Genovations Regen Pllc |
---|---|
Speciality | Clinic/center |
Location | 2228 James St, Eagan, Minnesota |
Authorized Official Name and Position | Jennifer Lynn Ergang (OWNER) |
Authorized Official Contact | 2106300146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genovations Regen Pllc 2228 James St Eagan MN 55122-2336 Ph: () - | Genovations Regen Pllc 2228 James St Eagan MN 55122-2336 Ph: (210) 630-0146 |
NPI Number | 1457005548 |
---|---|
Provider Enumeration Date | 02/08/2022 |
Last Update Date | 02/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457005548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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