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NPI Code Detail

MEDICARE: POST-ACUTE PHYSICIANS OF MINNESOTA

MEDICARE: POST-ACUTE PHYSICIANS OF MINNESOTA
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
1208100000XPhysical Medicine & Rehabilitation Physician58483MN

General Provider Information

NPI Number : 1245616614
Entity Type Code : Organization
Provider Name (Legal Business Name) : POST-ACUTE PHYSICIANS OF MINNESOTA
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT
Second Line : STE 208
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 877-749-7428
Fax Number :
Provider Business Practice Location Address
First Line : 5430 BOONE AVE N
Second Line :
City : NEW HOPE
State : MN
Zip : 55428-3615
Country : US
Telephone Number : 763-592-3000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSE VARGAS
Credential : MD
Telephone Number : 877-749-7428
Provider Enumeration Date : 08/07/2015
Last Update Date : 08/21/2019

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Directions to “POST-ACUTE PHYSICIANS OF MINNESOTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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