| Md Clinic, Inc | |
|
14135 Cedar Ave Apple Valley MN 55124-4522 | |
| (952) 431-9655 | |
| (952) 431-9651 |
| Full Name | Md Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 14135 Cedar Ave, Apple Valley, Minnesota |
| Authorized Official Name and Position | Fernando Partida-ruesga (PRESIDENT) |
| Authorized Official Contact | 9524319655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Clinic, Inc 14135 Cedar Ave Apple Valley MN 55124-4522 Ph: (952) 431-9655 | Md Clinic, Inc 14135 Cedar Ave Apple Valley MN 55124-4522 Ph: (952) 431-9655 |
| NPI Number | 1770810624 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770810624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1245087 (Minnesota) | Primary |
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