Equimed Corporation

NPI #1578557286 in Plymouth, Minnesota

Provider Information

NPI Number: 1578557286
Entity Type: Organization
Organization Name: Equimed Corporation
Primary Specialty: Specialist
Enumeration Date: Sep 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3300 FERNBROOK LN N
Address 2: SUITE 175
City: Plymouth
State: Minnesota
ZIP Code: 55447-5338
Phone: (763) 557-6810

Authorized Official

Name: NANCY ANN ANDERSON
Title: VP, ADMINISTRATION
Phone: (763) 557-6810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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