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5635 Christmas Lake Pt Excelsior MN 55331-9102 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5635 Christmas Lake Pt, Excelsior, Minnesota |
| Authorized Official Name and Position | Ulas Camsari (DIRECTOR) |
| Authorized Official Contact | 5072842511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5635 Christmas Lake Pt Excelsior MN 55331-9102 Ph: (507) 284-2511 | 5635 Christmas Lake Pt Excelsior MN 55331-9102 Ph: (507) 284-2511 |
| NPI Number | 1770349813 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 4284165390 |
|---|---|
| Medicare Enrollment ID | O20241001000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770349813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ulas Mehmet Camsari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881868826 PECOS PAC ID: 5890944383 Enrollment ID: I20120926000662 |
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