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Organization
TOTAL ACCESS URGENT CARE, PC
Active
Organization
TOTAL ACCESS URGENT CARE, PC
Active
Parent organization
TOTAL ACCESS URGENT CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL ACCESS URGENT CARE, PC
Authorized official
MATTHEW BRUCKEL MD (CEO)
(636) 556-0114
Entity
Organization
Contact information
Practice address
1710 W LAKE ST, MINNEAPOLIS, MN 55408-4849
(314) 238-4660
(314) 270-3694
Mailing address
13861 MANCHESTER RD, BALLWIN, MO 63011-4503
(314) 238-4660
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962684886
NPI MAIN
—
Enumeration date
01/06/2021
Last updated
01/06/2021
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