Organization
MIDWEST REGENERATIVE MEDICINE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PEDERSON (OWNER)
(218) 745-6655
Entity
Organization
Contact information
Practice address
603 N MAIN ST, WARREN, MN 56762-1122
(218) 745-6655
Mailing address
603 N MAIN ST, WARREN, MN 56762-1122
(218) 745-6655
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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