Organization
MY MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA ANAND MD (CMD/FOUNDER AND OWNER)
(651) 484-6923
Entity
Organization
Contact information
Practice address
1560 BEAM AVE, MAPLEWOOD, MN 55109-1191
(651) 484-6923
Mailing address
4872 STEEPLECHASE WAY, EAGAN, MN 55122-2978
(651) 484-6923
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
45908
MN
Other
Enumeration date
07/16/2014
Last updated
10/12/2022
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