Organization
RED CLOVER CLINIC INC
Active
Other names
Red Clover Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA L TEIGEN L.AC. (OWNER)
(612) 308-3597
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N, SUITE 433, ROSEVILLE, MN 55113-5005
(612) 308-3597
Mailing address
2233 HAMLINE AVE N, SUITE 433, ROSEVILLE, MN 55113-5005
(612) 308-3597
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1447
MN
Other
Enumeration date
01/10/2011
Last updated
08/30/2013
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