PREMISE HEALTH OF MINNESOTA MEDICAL P C

EAGAN, MN
NPI1205558053
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2022-09-16
Last Update Date2022-09-16
Business Address
PREMISE HEALTH OF MINNESOTA MEDICAL P C
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121-1675
Phone number: 651-447-4936
Mailing Address
PREMISE HEALTH OF MINNESOTA MEDICAL P C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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