Organization
INFINITE HEALTH COLLABORATIVE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON W JOHNSON (CEO)
(952) 456-7316
Entity
Organization
Contact information
Practice address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1251
MN
Other
Enumeration date
03/14/2015
Last updated
01/17/2024
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