Organization
MINNESOTA WOUND CARE LLC
Active
Parent organization
GERIATRIC SERVICES OF MINNESOTA, LLC
Other names
Genevive
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERIATRIC SERVICES OF MINNESOTA, LLC
Authorized official
AMANDA TUFANO (CEO AND TREASURER)
(469) 231-1545
Entity
Organization
Contact information
Practice address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Mailing address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7823459
—
MN
Enumeration date
12/15/2021
Last updated
12/15/2021
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