| Avalon - Midway | |
|
1885 University Avenue West Suite 151 Saint Paul MN 55104 | |
| (651) 647-0095 | |
| (651) 647-9147 |
| Full Name | Avalon - Midway |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1885 University Avenue West, Saint Paul, Minnesota |
| Authorized Official Name and Position | Paul Lindeman (DIRECTOR-REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6123267566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon - Midway 550 Main St Ste 230 New Brighton MN 55112 Ph: (612) 326-7600 | Avalon - Midway 1885 University Avenue West Suite 151 Saint Paul MN 55104 Ph: (651) 647-0095 |
| NPI Number | 1154455533 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154455533 | NPI | - | NPPES |
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