Organization
NOVUS HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON KENTON (C.E.O.)
(612) 242-9517
Entity
Organization
Contact information
Practice address
4004 SHORELINE DR, SPRING PARK, MN 55384-9656
(612) 242-9517
Mailing address
4004 SHORELINE DR, SPRING PARK, MN 55384-9656
(612) 242-9517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
04/16/2017
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