In-home Clinic Connection Pc | |
4570 W 77th St Suite 165 Edina MN 55435-5008 | |
(952) 230-7633 | |
(952) 842-9001 |
Full Name | In-home Clinic Connection Pc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 4570 W 77th St, Edina, Minnesota |
Authorized Official Name and Position | Kathleen Joy Valusek (CEO) |
Authorized Official Contact | 9528429000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
In-home Clinic Connection Pc 4570 W 77th St Suite 165 Edina MN 55435-5008 Ph: (952) 230-7633 | In-home Clinic Connection Pc 4570 W 77th St Suite 165 Edina MN 55435-5008 Ph: (952) 230-7633 |
NPI Number | 1093942195 |
---|---|
Provider Enumeration Date | 06/16/2009 |
Last Update Date | 03/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093942195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | PENDING (* (Not Available)) | Primary |
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