Optage Primary Care, Llc | |
2845 Hamline Ave N Roseville MN 55113-7127 | |
(651) 631-6100 | |
(651) 631-6343 |
Full Name | Optage Primary Care, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2845 Hamline Ave N, Roseville, Minnesota |
Authorized Official Name and Position | Sharon Klefsaas (EXECUTIVE DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 6516316145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optage Primary Care, Llc 2845 Hamline Ave N Roseville MN 55113-7127 Ph: (651) 631-6100 | Optage Primary Care, Llc 2845 Hamline Ave N Roseville MN 55113-7127 Ph: (651) 631-6100 |
NPI Number | 1760789259 |
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Provider Enumeration Date | 02/17/2011 |
Last Update Date | 09/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760789259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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