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NPI Code Detail

MEDICARE: CUMI WELLNESS

MEDICARE: CUMI WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1073392676
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMI WELLNESS
Provider Business Mailing Address
First Line : 1340 HAZEL ST N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4506
Country : US
Telephone Number : 763-607-8544
Fax Number :
Provider Business Practice Location Address
First Line : 1340 HAZEL ST N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4506
Country : US
Telephone Number : 763-607-8544
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARCUS CAGE
Credential :
Telephone Number : 763-607-8544
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “CUMI WELLNESS ” Practice Location

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