Mankato Clinic Ltd
NPI #1952576126 in Saint Peter, Minnesota
Provider Information
- NPI Number
- 1952576126
- Entity Type
- Organization
- Organization Name
- Mankato Clinic Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 28, 2008
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 1901 OLD MINNESOTA AVE
- City
- Saint Peter
- State
- Minnesota
- ZIP Code
- 56082-1763
- Phone
- (507) 934-2325
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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