Organization
NORTH CLINIC, PA
Active
Organization
NORTH CLINIC, PA
Active
Parent organization
MEDVANTX, INC.
Other names
North Clinic - Osseo
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
50 CENTRAL AVE, OSSEO, MN 55369-1241
(763) 587-7900
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
27706
MN
Other
Enumeration date
01/16/2009
Last updated
12/29/2022
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