Organization
MN UC PROVIDERS LTD
Active
Other names
American Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STEVENS (TREASURER)
(952) 931-1276
Entity
Organization
Contact information
Practice address
415 17TH AVE N STE 100, HOPKINS, MN 55343-7226
(952) 931-1276
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
11/15/2021
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