Organization
MAC SERVICE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PETERSON (BILLING OFFICE MANAGER)
(612) 341-1674
Entity
Organization
Contact information
Practice address
414 S 8TH ST, MINNEAPOLIS, MN 55404-1025
(612) 341-1601
(612) 341-1642
Mailing address
414 S 8TH ST, MINNEAPOLIS, MN 55404-1025
(612) 341-1601
(612) 341-1642
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MN
Other
Enumeration date
06/03/2015
Last updated
07/21/2022
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