Meadow Creek Developers, Llc

Specialty details in registry · Champlin, MN

Call (612) 867-9581 Directions

At a glance

218 Revere Ln N, Champlin, MN 55316-1049

NPPES record updated Jan 22, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

218 Revere Ln N
Champlin, MN 55316-1049
Professional details: NPI, taxonomy & registry record
NPI1790375814
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
171WH0202X
Enumeration date
Jan 22, 2021
Record updated
Jan 22, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

171WH0202X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

218 Revere Ln N
Champlin, MN 55316-1049
Phone
(612) 867-9581
Mailing address
218 REVERE LN N

CHAMPLIN, MN 553161049
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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