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Organization
MIRACLE 3D MOMENTS, LLC
Active
Organization
MIRACLE 3D MOMENTS, LLC
Active
Parent organization
MIRACLE 3D MOMENTS, LLC
Other names
Choice Ultrasound
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRACLE 3D MOMENTS, LLC
Authorized official
MRS. CRYSTAL ANN HELLER RDMS (OWNER/ SONOGRAPHER)
(320) 245-7701
Entity
Organization
Contact information
Practice address
22 WILSON AVE NE STE 201, SAINT CLOUD, MN 56304-0418
(320) 208-6064
(833) 938-4654
Mailing address
8182 PARADISE BEACH RD, BRAINERD, MN 56401-1864
(320) 761-5062
(833) 938-4654
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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