AVANTI MEDICAL GROUP OF MINNESOTA LLC NPI 1568771962

NPI Information

AVANTI MEDICAL GROUP OF MINNESOTA LLC is a clinic center in Saint Paul, 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). AVANTI MEDICAL GROUP OF MINNESOTA LLC NPI is 1568771962. The provider is registered as an organization entity type.

The provider's business location address is:

1059 MEADOWLANDS DR
SAINT PAUL, MN
ZIP 55127-346
Phone: (318) 465-5874

The provider's authorized official is Amy Graham .
The authorized official title is Vice President Of Medical Affairs and has the following contact phone number (318) 465-5874.

The enumeration date for this NPI number is 10/2/2010 and was last updated on 10/2/2010.

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:

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