| Fresh Air Pllc | |
|
801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 | |
| (612) 380-3430 | |
| Not Available |
| Full Name | Fresh Air Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, Minnesota |
| Authorized Official Name and Position | Alexandra Conroy (OWNER) |
| Authorized Official Contact | 6123803430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Air Pllc 801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 Ph: () - | Fresh Air Pllc 801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 Ph: (612) 380-3430 |
| NPI Number | 1558125906 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558125906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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