North Clinic, PA

NPI #1902043615 in Osseo, Minnesota

Provider Information

NPI Number
1902043615
Entity Type
Organization
Organization Name
North Clinic, PA
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 16, 2009
Last Updated
Dec 29, 2022

Practice Location

Address
50 CENTRAL AVE
City
Osseo
ZIP Code
55369-1241
Phone
(763) 587-7900

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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