Eminence Healthcare LLC

NPI #1063242709 in Newport, Minnesota

Provider Information

NPI Number
1063242709
Entity Type
Organization
Organization Name
Eminence Healthcare LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 6, 2024
Last Updated
Aug 6, 2024

Practice Location

Address
150 RED ROCK RD
ZIP Code
55055-1830
Phone
(651) 358-9573

Authorized Official

Name
DONNIE RAY WALLACE III
Title
OWNER
Phone
(651) 358-9573

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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