NPI 1164766010

Hiawatha Clinic Center LLC

Organisation Rehabilitation Hospital Unit Roseville, MN

Practice location

Address: 2275 Snelling Ave N APT 309, Roseville, MN 55113-4285
Phone: (651) 308-8842
Fax: (612) 225-6758

Authorised official

Name: Hudo O Mire
Title: Manager
Phone: (651) 308-8842

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X

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Registry record

NPI: 1164766010
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.