Medcentra LLC
NPI #1851388920 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1851388920
- Entity Type
- Organization
- Organization Name
- Medcentra LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 225 SMITH AVE N
- Address 2
- SUITE 301
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55102-2534
- Phone
- (651) 288-5180
Authorized Official
- Name
- MR. BRIAN DAVID SISKA
- Title
- PRESIDENT/
- Phone
- (763) 545-3006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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