Organization
PROREADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE KIM APPLENE (CEO)
(612) 280-9096
Entity
Organization
Contact information
Practice address
5021 VERNON AVE S, SUITE 300, EDINA, MN 55436
(612) 280-9096
Mailing address
5021 VERNON AVE S, SUITE 300, EDINA, MN 55436
(612) 280-9096
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
20214283
MN
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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