Executive Health Care

NPI #1295917995 in Minneapolis, Minnesota

Provider Information

NPI Number: 1295917995
Entity Type: Organization
Organization Name: Executive Health Care
Primary Specialty: Internal Medicine
Enumeration Date: Dec 4, 2007
Last Updated: Dec 4, 2007

Practice Location

Address: 920 E 28TH STREET
Address 2: SUITE 740
City: Minneapolis
State: Minnesota
ZIP Code: 55407-1163
Phone: (612) 871-6268

Authorized Official

Name: DUDLEY MAURICE MCLINN, MD
Title: PRESIDENT
Phone: (612) 870-6268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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