Organization
MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
(866) 389-2727
Mailing address
1 CVS DR, MC-2995, WOONSOCKET, RI 02895-6146
(401) 770-3813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
02/26/2024
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