| Anita Doyle Pa | |
|
3754 Pleasant Ave Minneapolis MN 55409-1277 | |
| (952) 926-7063 | |
| Not Available |
| Full Name | Anita Doyle Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3754 Pleasant Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Anita M Doyle (PRESIDENT) |
| Authorized Official Contact | 9529267063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Doyle Pa 3754 Pleasant Ave Minneapolis MN 55409-1277 Ph: (952) 926-7063 | Anita Doyle Pa 3754 Pleasant Ave Minneapolis MN 55409-1277 Ph: (952) 926-7063 |
| NPI Number | 1720133291 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720133291 | NPI | - | NPPES |
| 5190550 | Medicaid | MN | |
| 03655DO | Other | MN | BLUE CROSS BLUE SHIELD |
| 62-68336 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 07050 (Minnesota) | Primary |
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