NPI 1447985171
Rivertown Medical Center PLLC
Practice location
- Address
- 5630 Memorial Ave N STE 1, Stillwater, MN 55082-1087
- Phone
- (651) 439-2712
- Fax
- (651) 439-2663
Authorised official
- Name
- Daniel Larsen
- Title
- Ceo
- Phone
- (651) 439-2712
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1447985171
- Entity type
- Organization
- NPI issued
- 18 Jul 2022
- Record last updated
- 18 Jul 2022
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.