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Organization
MEDEXPRESS URGENT CARE MINNESOTA P.C.
Active
Organization
MEDEXPRESS URGENT CARE MINNESOTA P.C.
Active
Other names
MedExpress Urgent Care - Andover, Bunker Lake Blvd NW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
2134 BUNKER LAKE BLVD NW, SUITE 100, ANDOVER, MN 55304-3910
(763) 754-4396
(763) 754-9198
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588025332
—
MN
Enumeration date
03/29/2017
Last updated
06/01/2017
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