Organization · Type 2 NPI
Provax LLC
Community Health Clinic/Center · Chanhassen, MN
NPI number
1619202934
Active
Practice location
2018 Stone Creek Dr
Chanhassen, MN 55317-7410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | R106374-5 (MN) |
Community Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1619202934
Provax LLC's National Provider Identifier is 1619202934, issued on Oct 5, 2009. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Chanhassen, MN. The record was last updated on Oct 5, 2009.