Lifeview Care Wisconsin S.c.
NPI #1063780658 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1063780658
- Entity Type
- Organization
- Organization Name
- Lifeview Care Wisconsin S.c.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 9, 2011
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 3600 AMERICAN BLVD W STE 225
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-4527
- Phone
- (952) 500-3337
Authorized Official
- Name
- DR. THOMAS RAY HARMAN, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (952) 500-3337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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