Midwest Healthcare Groups PLLC
Clinic/Center, Urgent Care in Rogers, MN. Organization (NPI-2).
NPI number1982207932
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1982207932
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Healthcare Groups PLLC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
21410 136th Ave N ,ste 105bRogers, MN 55374-4921
Phone 763-290-6622 · Fax 949-288-0273
Mailing address
21410 136th Ave Ste 105bRogers, MN 55374-4921
Phone 763-290-6622 · Fax 949-288-0273
Authorized official
Ammar Khashan
Ceo
6518294326
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