Family Healthservices Minnesota, P.a
NPI #1720120645 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1720120645
- 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 14, 2007
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 4786 BANNING AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3264
- Phone
- (651) 426-6402
Authorized Official
- Name
- SCOTT PETERSON
- Title
- CFO
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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