Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE MD PLLC
Active OrganizationREVIVE MD PLLC is a Interventional Vascular Surgery organization located in SAINT PAUL, Minnesota. NPI 1346832953 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SAINT PAUL, MN
Registration Details
- NPI Number
- 1346832953
- Provider Type
- Organization
- NPI Issued
- Feb 4, 2021 (5.5339963985778 yrs)
- Last Updated
- Feb 4, 2021
Practice Information
- Address
-
821 RAYMOND AVE STE 230SAINT PAUL, MN, 551141503Browse MN providers · Browse ZIP 55114
- Phone
- 6517464412
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.