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NPI Profile for ADVACARE CLINICSLTD in BLOOMINGTON, MN.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Acupuncturist |
171100000X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Primary Care |
261QP2300X |
| NPI # | 1265614242 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/30/2007 | |
| Last updated | 10/31/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ADVACARE CLINICS,LTD
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ADVACARE CLINICS,LTD