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ADVACARE MEDICAL CLINIC LTD NPI 1578116786


NPI Information

NPI: 1578116786
Provider Name: ADVACARE MEDICAL CLINIC LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5325 W 74TH ST STE 9
EDINA, MN
ZIP 55439
Phone: (651) 354-6602
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ADVACARE MEDICAL CLINIC LTD is a family medicine in Edina, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVACARE MEDICAL CLINIC LTD NPI is 1578116786. The provider is registered as an organization entity type.

The provider's business location address is:

5325 W 74TH ST STE 9
EDINA, MN
ZIP 55439-212
Phone: (651) 354-6602

The provider's authorized official is David Makonde Ogato .
The authorized official title is Practice Manager and has the following contact phone number (651) 354-6602.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.


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
1261QG0250XClinic/CenterGeneticsNo
2261QP3300XClinic/CenterPainNo
3207Q00000XFamily MedicineYes

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: 11/14/2023

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