Corban Health Care, Pllc
NPI #1013226844 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1013226844
- Entity Type
- Organization
- Organization Name
- Corban Health Care, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 28, 2010
- Last Updated
- Sep 28, 2010
Practice Location
- Address
- 5141 36TH AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55417-1518
- Phone
- (612) 644-9047
Authorized Official
- Name
- CONNIE MARIE CARLEEN, M.D.
- Title
- SOLE OWNER/MANAGER
- Phone
- (612) 644-9047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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