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Organization

MEDICA HEALTH MANAGEMENT, LLC

Active
Other names
Integrated Care by Medica
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLENN ANDIS (SR. VICE PRESIDENT GOV. PROGRAMS)
(952) 992-3977
Entity
Organization

Contact information

Practice address
401 CARLSON PKWY, MINNETONKA, MN 55305-5359
(952) 992-2000
(952) 992-8665
Mailing address
401 CARLSON PKWY, MINNETONKA, MN 55305-5359
(952) 992-2000
(952) 992-8665

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21268142
MN

Other

Enumeration date
03/07/2012
Last updated
11/20/2013
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