Organization
MN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SILL BSDH (LAB DIRECTOR)
(763) 670-2493
Entity
Organization
Contact information
Practice address
1900 COUNTY ROAD D E STE 100, MAPLEWOOD, MN 55109-4570
(612) 423-8330
Mailing address
3441 170TH LN NE, HAM LAKE, MN 55304-5252
(763) 670-2493
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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