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REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS

Organization (NPI-2) Active

Family Medicine, Bariatric Medicine

Provider Information

NPI Number
1053168948
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
10627 165TH ST W, LAKEVILLE, MN, 550443517
Phone
(952) 243-5628

Specialties & Taxonomies

Family Medicine, Bariatric Medicine Primary

All Addresses

LOCATION

10627 165TH ST W

LAKEVILLE, MN, 550443517

(952) 243-5628

MAILING

10627 165TH ST W

LAKEVILLE, MN, 550443517