Realief Medical P.A.
Clinic/Center, Multi-Specialty in St Louis Park, MN. Organization (NPI-2).
NPI number1508102500
StatusActive
Last updated in NPPESSep 10, 2013
Details
- NPI
- 1508102500
- Entity type
- Organization (NPI-2)
- Legal business name
- Realief Medical P.A.
- Organization subpart
- No
- Enumeration date
- Dec 19, 2012
- Last updated
- Sep 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | 24538 | MN | Yes |
Practice location
1660 Highway 100 SSuite 229
St Louis Park, MN 55416-1529
Phone 952-456-6160 · Fax 952-456-6184
Mailing address
1660 Highway 100 SSuite 229
St Louis Park, MN 55416-1529
Phone 952-456-6160 · Fax 952-456-6184
Authorized official
Jessica Haley
Operations Manager
9524566160
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