Family Healthservices Minnesota, P.a

NPI #1447391420 in Shoreview, Minnesota

Provider Information

NPI Number
1447391420
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 10, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
404 HIGHWAY 96 W
ZIP Code
55126-1901
Phone
(651) 483-8283

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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