Organization
ALLERGY AND ASTHMA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MUTNICK (OWNER)
(714) 296-6777
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(714) 296-6777
Mailing address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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