Organization
MILLENNIUM REGENERATIVE MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HAWBAKER NP (OWNER)
(970) 856-4729
Entity
Organization
Contact information
Practice address
175 E MAIN ST, CEDAREDGE, CO 81413-3331
(970) 856-4729
Mailing address
235 SW 8TH AVE, CEDAREDGE, CO 81413-3902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
01/15/2020
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