| Avalon - Prospect Park | |
|
2800 University Ave Se Suite 202 Minneapolis MN 55414 | |
| (612) 638-2282 | |
| (612) 326-7642 |
| Full Name | Avalon - Prospect Park |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2800 University Ave Se, Minneapolis, 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 - Prospect Park 550 Main St Ste 230 New Brighton MN 55112 Ph: (612) 326-7600 | Avalon - Prospect Park 2800 University Ave Se Suite 202 Minneapolis MN 55414 Ph: (612) 638-2282 |
| NPI Number | 1104950591 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104950591 | NPI | - | NPPES |
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