Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regenerative Medicine Ctr Mn

Organization Family Medicine Physician · NPI 1174183040

Regenerative Medicine Ctr Mn is a Family Medicine Physician in Buffalo, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

201 5th St NE Ste 4
Buffalo, MN 55313-5405
Phone: (763) 682-0611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174183040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maudie Louisiana — Owner · (763) 682-0611
Other names Regenerative Medicine Ctr Mn
NPI enumeratedJune 13, 2019
Last updated in NPPESJune 13, 2019
Mailing address201 5th St Ne Ste 4, Buffalo, MN 55313-5405

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