REVIVE ROOTS, PLLC

Clinic/Center - Multi-Specialty

Active Organization
NPI: 1548800915

Practice Address

3440 PORTLAND AVE
Minneapolis, MN 55407

Phone: (612) 990-8172

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X No -
Clinic/Center - Multi-Specialty 261QM1300X Yes -

Frequently Asked Questions

NPI 1548800915 is the National Provider Identifier for REVIVE ROOTS, PLLC, a Clinic/Center - Multi-Specialty provider located in Minneapolis, MN. This NPI was enumerated on January 13, 2020.

Quick Facts

NPI
1548800915
Type
Organization
Enumerated
Jan 13, 2020
Last Updated
Sep 24, 2020

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