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Albertville - St. Michael Clinic — NPI 1285804336, Albertville, MN | NPI Central

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NPI 1285804336

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Albertville - St. Michael Clinic

NPI 1285804336 · Non-Pharmacy Dispensing Site · Albertville, MN

Provider details

NPI number: 1285804336
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Vp of Operations
License: 53129 (MN)

Practice location

11091 Jason Ave Ne

Albertville, MN 55301-4699

Phone: (763) 684-8300

More MN providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2008-03-05
Last updated: 2015-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.