Organization
CENTRAL MEDICAL CLINIC, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MORALES (CLINIC DIRECTOR)
(651) 644-6002
Entity
Organization
Contact information
Practice address
393 DUNLAP ST N, LL34, SAINT PAUL, MN 55104-4200
(651) 644-6002
(651) 647-1647
Mailing address
393 DUNLAP ST N, LL34, SAINT PAUL, MN 55104-4200
(651) 644-6002
(651) 647-1647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1123204
MN
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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