Organization
MEDWAY SUPPORT SERVICES. LLC
Active
Other names
Medway
Organization subpart
No
Provider details
NPI number
Authorized official
ASAD MOHAMED (CEO)
(612) 987-0933
Entity
Organization
Contact information
Practice address
8421 WAYZATA BLVD STE 180, GOLDEN VALLEY, MN 55426
(763) 205-5424
(763) 205-6183
Mailing address
8421 WAYZATA BLVD STE 180, GOLDEN VALLEY, MN 55426-1352
(763) 205-5424
(763) 205-6183
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
08/20/2018
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