Physician Management Services of Minnesota, LLC

NPI #1699413187 in Saint Cloud, Minnesota

Provider Information

NPI Number
1699413187
Entity Type
Organization
Organization Name
Physician Management Services of Minnesota, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
VAXCARE CORPORATION
Primary Specialty
Family Medicine
Enumeration Date
May 24, 2022
Last Updated
May 24, 2022

Practice Location

Address
3290 42ND AVE S
ZIP Code
56301-6251
Phone
(888) 829-8550

Authorized Official

Name
BRETT KENEFICK
Title
PRESIDENT
Phone
(888) 829-8550

Specialties & Taxonomy Codes

Specialty
Family Medicine

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