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NPI Code Detail

MEDICARE: MULTIPLE CARE OF MN, LLC

MEDICARE: MULTIPLE CARE OF MN, LLC
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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1639631526
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTIPLE CARE OF MN, LLC
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 350
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2216
Country : US
Telephone Number : 615-386-0064
Fax Number :
Provider Business Practice Location Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 615-386-0064
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : EDWARD LELAND HUTTON EADIE
Credential :
Telephone Number : 615-733-2064
Provider Enumeration Date : 04/01/2019
Last Update Date : 04/01/2019

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Directions to “MULTIPLE CARE OF MN, LLC ” Practice Location

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