Organization · Type 2 NPI

Minnesota Personalized Medicine LLC

Medical Specialty Clinic/Center · Minneapolis, MN

NPI number 1760144679 Active

Practice location

1409 Willow St Ste 501
Minneapolis, MN 55403-3288

Fax (612) 392-3957

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1760144679

Minnesota Personalized Medicine LLC's National Provider Identifier is 1760144679, issued on Oct 7, 2021. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 7, 2021.