Total Healthcare And Physical Medicine Pllc. | |
2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 | |
(651) 636-5560 | |
(651) 636-4406 |
Full Name | Total Healthcare And Physical Medicine Pllc. |
---|---|
Speciality | General Practice |
Location | 2151 Hamline Ave N, Roseville, Minnesota |
Authorized Official Name and Position | Koula Vang (OFFICE MANAGER) |
Authorized Official Contact | 6516365560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Healthcare And Physical Medicine Pllc. 2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 Ph: (651) 636-5560 | Total Healthcare And Physical Medicine Pllc. 2151 Hamline Ave N Ste. 111 Roseville MN 55113-4236 Ph: (651) 636-5560 |
NPI Number | 1629373246 |
---|---|
Provider Enumeration Date | 01/12/2011 |
Last Update Date | 02/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629373246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 30851 (Minnesota) | Primary |
363L00000X | Nurse Practitioner | 13954 (Minnesota) | Secondary |
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