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Organization
UCFA PHYSICIANS NETWORK GROUP OF MINNESOTA
Active
Organization
UCFA PHYSICIANS NETWORK GROUP OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEO S STEPHENS (ACTING CHIEF OF PRMG)
(423) 271-9911
Entity
Organization
Contact information
Practice address
40 S 7TH ST, MINNEAPOLIS, MN 55402-1606
(423) 271-9911
Mailing address
8930 CROSS PARK DR STE 3, KNOXVILLE, TN 37923-4713
(865) 245-5265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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