Organization
REHABILITATION MEDICINE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KIM MD (OWNER)
(984) 377-3422
Entity
Organization
Contact information
Practice address
8400 NORMANDALE LAKE BLVD, STE 920, BLOOMINGTON, MN 55437-1085
(984) 377-3422
(845) 698-6174
Mailing address
631 CLEVELAND AVE S STE 5, SAINT PAUL, MN 55116-1244
(612) 516-5558
(845) 698-6174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
57253
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114313798
—
MN
Enumeration date
04/10/2015
Last updated
03/24/2016
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