Family Healthservices Minnesota, P.a

NPI #1417098278 in Saint Paul, Minnesota

Provider Information

NPI Number
1417098278
Entity Type
Organization
Organization Name
Family Healthservices Minnesota, P.a
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Apr 11, 2017

Practice Location

Address
1050 LARPENTEUR AVE W
ZIP Code
55113-6556
Phone
(651) 487-2831

Authorized Official

Name
SCOTT PETERSON
Title
CFO
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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