Organization
PREVENTIVE CARDIOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H. ZAVORAL MD (CLINIC DIRECTOR)
(952) 924-1550
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 290, EDINA, MN 55435-2131
(952) 924-1550
(952) 924-1527
Mailing address
6545 FRANCE AVE S, SUITE 290, EDINA, MN 55435-2131
(952) 924-1550
(952) 924-1527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39F19PR
BLUE CROSS BLUE SHEILD
MN
Enumeration date
04/02/2007
Last updated
08/22/2020
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