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MIND BODY MEDICINE INC. NPI 1528246295


NPI Information

NPI: 1528246295
Provider Name: MIND BODY MEDICINE INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8 N 2ND AVE E
SUITE 209
DULUTH, MN
ZIP 55802
Phone: (218) 628-2130
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MIND BODY MEDICINE INC. is a clinic center in Duluth, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIND BODY MEDICINE INC. NPI is 1528246295. The provider is registered as an organization entity type.

The provider's business location address is:

8 N 2ND AVE E
SUITE 209
DULUTH, MN
ZIP 55802-102
Phone: (218) 628-2130

The provider's authorized official is Gary G. Kohls .
The authorized official title is Owner and has the following contact phone number (218) 628-2130.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140M27KOOTHERMINNESOTABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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