Organization
MEDEXPRESS URGENT CARE MINNESOTA PC
Active
Other names
MedExpress Urgent Care - Cloquet, Highway 33 S
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
707 HIGHWAY 33 S, SUITE 19, CLOQUET, MN 55720-2696
(218) 878-7903
(218) 879-1213
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
09/27/2016
Last updated
03/06/2017
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