Mina Medical Clinic LLC
NPI #1457088809 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1457088809
- Entity Type
- Organization
- Organization Name
- Mina Medical Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 5, 2022
- Last Updated
- Aug 5, 2022
Practice Location
- Address
- 1690 SILVER LAKE ROAD NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112
- Phone
- (612) 274-4380
Authorized Official
- Name
- DR. IDIRIS ESSE, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (612) 274-4380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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