Organization
MIRACULIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN OLUFEMI JEGEDE JEGEDE (DIRECTOR)
(320) 380-4283
Entity
Organization
Contact information
Practice address
10449 172ND LN NW, ELK RIVER, MN 55330-4314
(612) 475-8894
(612) 475-8894
Mailing address
10449 172ND LN NW, ELK RIVER, MN 55330-4314
(612) 475-8894
(612) 475-8894
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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