Organization
TEAM MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA L JAUREGUI (OFFICE MANAGER)
(612) 486-2223
Entity
Organization
Contact information
Practice address
3455 4TH AVE S, MINNEAPOLIS, MN 55408-4527
(612) 486-2223
(612) 437-4737
Mailing address
3455 4TH AVE S, MINNEAPOLIS, MN 55408-4527
(612) 486-2223
(612) 437-4737
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0212447
MN
Other
Enumeration date
11/05/2013
Last updated
11/27/2013
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