Organization
TOTAL HEALTHCARE AND PHYSICAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NORINE (ADMINISTRATOR)
(651) 636-5560
Entity
Organization
Contact information
Practice address
2151 HAMLINE AVE N, SUITE 111, ROSEVILLE, MN 55113-4236
(651) 636-5560
(651) 636-4406
Mailing address
2151 HAMLINE AVE N, SUITE 111, ROSEVILLE, MN 55113-4236
(651) 636-5560
(651) 636-4406
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R153252-2
MN
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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