| Charles Mccafferty, Md, Llc | |
|
977 Summit Ave Saint Paul MN 55105-3032 | |
| (651) 227-6369 | |
| (651) 227-9545 |
| Full Name | Charles Mccafferty, Md, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 977 Summit Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Charles Mccafferty (OWNER) |
| Authorized Official Contact | 6512276369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Mccafferty, Md, Llc 977 Summit Ave Saint Paul MN 55105-3032 Ph: (651) 227-6369 | Charles Mccafferty, Md, Llc 977 Summit Ave Saint Paul MN 55105-3032 Ph: (651) 227-6369 |
| NPI Number | 1003094731 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003094731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 17268 (Minnesota) | Primary |
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