Albertville - St. Michael Clinic
NPI #1285804336 in Albertville, Minnesota
Provider Information
- NPI Number
- 1285804336
- Entity Type
- Organization
- Organization Name
- Albertville - St. Michael Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Mar 5, 2008
- Last Updated
- Jul 14, 2015
Practice Location
- Address
- 11091 JASON AVE NE
- City
- Albertville
- State
- Minnesota
- ZIP Code
- 55301-4699
- Phone
- (763) 684-8300
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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