Organization
MED CELL REGENERATE
Active
Organization
MED CELL REGENERATE
Active
Other names
Med Cell Regenerate, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE WILLIAMS (CFO)
(763) 898-3517
Entity
Organization
Contact information
Practice address
7373 KIRKWOOD CT N STE 110, MAPLE GROVE, MN 55369-5211
(763) 898-3517
Mailing address
7373 KIRKWOOD CT N STE 110, MAPLE GROVE, MN 55369-5211
(763) 898-3517
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/29/2021
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