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Organization
LIFE CLINIC PLLC
Active
Organization
LIFE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC ADEDIRAN MD (PRESIDENT)
(651) 237-3763
Entity
Organization
Contact information
Practice address
9220 BASS LAKE RD, NEW HOPE, MN 55428-3000
(651) 237-3763
(651) 300-0992
Mailing address
9220 BASS LAKE RD, NEW HOPE, MN 55428-3000
(651) 237-3763
(651) 300-0992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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