| Etude Llc | |
|
3615 Elliot Ave Apt 1 Minneapolis MN 55407-3998 | |
| (763) 439-8398 | |
| Not Available |
| Full Name | Etude Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3615 Elliot Ave Apt 1, Minneapolis, Minnesota |
| Authorized Official Name and Position | Daniel B Goldschmidt (OWNER) |
| Authorized Official Contact | 7634398398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etude Llc 3615 Elliot Ave Apt 1 Minneapolis MN 55407-3998 Ph: (763) 439-8398 | Etude Llc 3615 Elliot Ave Apt 1 Minneapolis MN 55407-3998 Ph: (763) 439-8398 |
| NPI Number | 1124792114 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124792114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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