MINNESOTA VITALITY AND ANTI-AGING CENTER is a clinic center in Shoreview, 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). MINNESOTA VITALITY AND ANTI-AGING CENTER NPI is 1598330219. The provider is registered as an organization entity type.
The provider's business location address is:
520 HIGHWAY 96 W STE 200
SHOREVIEW, MN
ZIP 55126-963
Phone: (651) 374-4014
Fax: (651) 374-4019
The provider's authorized official is Heather Manship .
The authorized official title is Co-founder and has the following contact phone number (651) 245-2454.
The CLIA number assigned to this NPI record is 24D2222034 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/25/2021 and was last updated on 11/21/2023.