Organization
SENIORWELL OF MINNESOTA, LLC
Active
Other names
SeniorWell of Minnesota, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARONEY (CEO)
(844) 882-3127
Entity
Organization
Contact information
Practice address
100 S 5TH ST STE 1900, MINNEAPOLIS, MN 55402-1267
(844) 882-3127
(844) 246-5875
Mailing address
2100 E LAKE COOK RD STE 1000, BUFFALO GROVE, IL 60089-1999
(844) 882-3127
(844) 246-5875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
09/11/2019
Last updated
09/12/2019
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