MEDICARE: MCKINLEY HRUBY MEDHAUG

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
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1578225355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKINLEY HRUBY MEDHAUG

Provider Business Mailing Address
First Line	:	430 OAK GROVE ST APT 205
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3686
Country	:	US
Telephone Number	:	651-968-7294
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 OAK GROVE ST APT 205
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3686
Country	:	US
Telephone Number	:	651-968-7294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2021
Last Update Date	:	10/09/2021

Similar Medicare Providers

1659374403 — BIOSCRIP PHARMACY, INC.
Practice Location Address:

2100 LYNDALE AVE S , SUITE A
MINNEAPOLIS, MN
55405-3686

Practice Phone: 612-872-7808
Practice Fax:

1750831723 — WALGREENS
Practice Location Address:

2100 LYNDALE AVE S
MINNEAPOLIS, MN
55405-3686

Practice Phone: 612-872-7808
Practice Fax:

1114811072 — ANDJELA ANDRIC PHARMD
Practice Location Address:

2100 LYNDALE AVE S
MINNEAPOLIS, MN
55405-3686

Practice Phone: 612-872-7808
Practice Fax:

1760371611 — HEATHER SVOBODA MA LP
Practice Location Address:

1900 HENNEPIN AVE STE 205
MINNEAPOLIS, MN
55403-3189

Practice Phone: 651-300-6266
Practice Fax:

1952417412 — FAMILY TREE INC
Practice Location Address:

1919 NICOLLET AVE
MINNEAPOLIS, MN
55403

Practice Phone: 612-473-0800
Practice Fax:

1700713963 — JULIANA MARIA ONDREY
Practice Location Address:

1000 LA SALLE AVE
MINNEAPOLIS, MN
55403

Practice Phone: 651-962-4200
Practice Fax:

Directions to “ MCKINLEY HRUBY MEDHAUG ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.