Organization
COMPLEX CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA RAE DORFF MD (CEO)
(651) 756-9595
Entity
Organization
Contact information
Practice address
4700 LEXINGTON AVE N STE C, SHOREVIEW, MN 55126-5964
(651) 756-9595
(651) 340-8529
Mailing address
PO BOX 270653, VADNAIS HEIGHTS, MN 55127-0653
(651) 756-9595
(651) 340-8529
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
12/26/2020
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