Organization
UNIVERSAL MEDICAL SERVICES INC
Active
Other names
AXIS Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISPIN J SEMAKULA M.D (BOARD CHAIRMAN)
(612) 823-2947
Entity
Organization
Contact information
Practice address
1801 NICOLLET AVE S, SUITE 101, MINNEAPOLIS, MN 55403-3745
(612) 823-2947
(612) 870-2947
Mailing address
1801 NICOLLET AVE S, SUITE 101, MINNEAPOLIS, MN 55403-3745
(612) 823-2947
(612) 870-2947
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
284300000X
Special Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5671767000(MHCP)
—
MN
Enumeration date
09/18/2007
Last updated
09/20/2016
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