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Organization

PATIENT CENTERED CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RWOOF A RESHI MD (CEO)
(651) 338-8424
Entity
Organization

Contact information

Practice address
238 WENTWORTH AVE E, WEST SAINT PAUL, MN 55118-3525
(651) 338-8424
Mailing address
10186 WATERFRONT DR, WOODBURY, MN 55129-8581
(651) 338-8424

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
44069
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811923436
NPI
MN
Enumeration date
12/26/2007
Last updated
12/26/2007
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