North Clinic, PA

NPI #1134374523 in Crystal, Minnesota

Provider Information

NPI Number
1134374523
Entity Type
Organization
Organization Name
North Clinic, PA
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 26, 2008
Last Updated
Dec 29, 2022

Practice Location

Address
5109 36TH AVE N
ZIP Code
55422-2007
Phone
(763) 587-7900

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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