Organization
FAMILY TREE INC
Active
Other names
FAMILY TREE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANGELUCCI (SENIOR DIRECTOR OF FINANCE & HR)
(651) 272-3551
Entity
Organization
Contact information
Practice address
1919 NICOLLET AVE, MINNEAPOLIS, MN 55403
(612) 473-0800
Mailing address
1919 NICOLLET AVE, MINNEAPOLIS, MN 55403
(612) 473-0800
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645753300
—
MN
Enumeration date
08/21/2006
Last updated
11/30/2021
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