Center For Natural Medicine PA
Clinic/Center in Eden Prairie, MN. Organization (NPI-2).
NPI number1982630505
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982630505
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Natural Medicine PA
- Organization subpart
- No
- Enumeration date
- Jun 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 3067 | MN | Yes |
Practice location
11800 Singletree LnSuite 310
Eden Prairie, MN 55344-5328
Phone 952-223-5669
Mailing address
902 E 2nd StSuite 327
Winona, MN 55987-6354
Phone 507-452-6640
Authorized official
Gregory Wayne Peterson
Owner
5074526640
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