| Mindset, Inc. | |
|
4005 W 65th St Suite 206 Edina MN 55435-1720 | |
| (612) 251-4179 | |
| (952) 224-7990 |
| Full Name | Mindset, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4005 W 65th St, Edina, Minnesota |
| Authorized Official Name and Position | Linda Flies Carole (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6122514179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset, Inc. 14422 Hunters Ln Savage MN 55378-2282 Ph: (612) 251-4179 | Mindset, Inc. 4005 W 65th St Suite 206 Edina MN 55435-1720 Ph: (612) 251-4179 |
| NPI Number | 1144265232 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 01/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144265232 | NPI | - | NPPES |
| 209K6MI | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LP2828 (Minnesota) | Primary |
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