Organization
SERGE B PIERRECHARLES MEDICAL GROUP PLLC
Active
Organization
SERGE B PIERRECHARLES MEDICAL GROUP PLLC
Active
Other names
Superior Performance Center sports Medicine, Pain, Spine, Rehabilitat, Elixir Sports Medicine, Pain, Spine, Rehabilitation & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE B PIERRECHARLES MD (OWNER)
(646) 234-3795
Entity
Organization
Contact information
Practice address
9220 BASS LAKE RD, SUITE 350, NEW HOPE, MN 55428-3095
(763) 208-9545
(651) 927-8668
Mailing address
9220 BASS LAKE RD, SUITE 350, NEW HOPE, MN 55428-3095
(763) 208-9545
(651) 927-8668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
58656
MN
Other
Enumeration date
10/04/2017
Last updated
03/25/2020
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