Regenerative Medicine Ctr Mn

NPI #1174183040 in Buffalo, Minnesota

Provider Information

NPI Number: 1174183040
Entity Type: Organization
Organization Name: Regenerative Medicine Ctr Mn
Primary Specialty: Family Medicine
Enumeration Date: Jun 13, 2019
Last Updated: Jun 13, 2019

Practice Location

Address: 201 5TH ST NE STE 4
City: Buffalo
State: Minnesota
ZIP Code: 55313-5405
Phone: (763) 682-0611

Authorized Official

Name: DR. MAUDIE LOUISIANA, DC
Title: OWNER
Phone: (763) 682-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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