Family Healthservices Minnesota, P.a
NPI #1366584526 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1366584526
- Entity Type
- Organization
- Organization Name
- Family Healthservices Minnesota, P.a
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX,
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 1540 RANDOLPH AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-2535
- Phone
- (651) 699-8333
Authorized Official
- Name
- SCOTT PETERSON
- Title
- CFO
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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