| Alltyr Clinic | |
|
332 Minnesota St Suite W1260 Saint Paul MN 55101-1314 | |
| (651) 341-7688 | |
| (866) 307-8760 |
| Full Name | Alltyr Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 332 Minnesota St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mark L Willenbring (PRESIDENT) |
| Authorized Official Contact | 6513487611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alltyr Clinic 332 Minnesota St Suite W1260 Saint Paul MN 55101-1314 Ph: (651) 341-7688 | Alltyr Clinic 332 Minnesota St Suite W1260 Saint Paul MN 55101-1314 Ph: (651) 341-7688 |
| NPI Number | 1992126429 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992126429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1861 (Minnesota) | Primary |
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