Organization
VIRTUWELL MEDICAL SERVICES, P.C.
Active
Organization
VIRTUWELL MEDICAL SERVICES, P.C.
Active
Other names
virtuwell
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J PALLATAO (VP)
(952) 883-5348
Entity
Organization
Contact information
Practice address
178 9TH ST E, SUITE 300, SAINT PAUL, MN 55101-2317
(877) 440-1001
(651) 265-1800
Mailing address
8170 33RD AVE S, MAIL STOP 21110R, MINNEAPOLIS, MN 55425-4516
(952) 883-7469
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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