NPI 1376166496
Central Medical Wellness INC
Practice location
- Address
- 821 Raymond Ave STE 230, Saint Paul, MN 55114-1503
- Phone
- (651) 746-4412
- Fax
- (651) 647-1647
- Mailing address
- 7595 Currell Blvd Unit 25404, Woodbury, MN 55125-2569
Authorised official
- Name
- Alfonso Morales-Utrilla
- Title
- Medical Director
- Phone
- (612) 730-5196
Registered specialties (2)
Pain Medicine Physician
Primary
Addiction Medicine (Family Medicine) Physician
Registry record
- NPI
- 1376166496
- Entity type
- Organization
- NPI issued
- 22 May 2020
- Record last updated
- 22 May 2020
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.