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NPI Verification

National Provider Identifier: 1578116786

Advacare Medical Clinic LTD

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Clinic/Center, Genetics

Code: 261QG0250X

Clinic/Center, Pain

Code: 261QP3300X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1359 KNOLL DR

SHAKOPEE, MN 553794624

NPI Enumeration Date

July 17, 2019

NPI Number

1578116786

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry