Mbh-Mn Medical Clinic PA
NPI #1922586270 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1922586270
- Entity Type
- Organization
- Organization Name
- Mbh-Mn Medical Clinic PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 550 MAIN ST STE 260
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-3273
- Phone
- (612) 326-7558
Authorized Official
- Name
- BUD LILE, MD
- Title
- OWNER/MEDICAL DIRECTOR
- Phone
- (612) 232-7558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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