| Germanson Md Psychiatry Ltd | |
|
13911 Ridgedale Drive Suite 320 Minnetonka MN 55305 | |
| (952) 956-4057 | |
| (952) 333-8196 |
| Full Name | Germanson Md Psychiatry Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13911 Ridgedale Drive, Minnetonka, Minnesota |
| Authorized Official Name and Position | Twila Bauer Germanson (OWNER) |
| Authorized Official Contact | 9529564057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Germanson Md Psychiatry Ltd 1161 Wayzata Blvd E #228 Wayzata MN 55391-1935 Ph: (952) 956-4057 | Germanson Md Psychiatry Ltd 13911 Ridgedale Drive Suite 320 Minnetonka MN 55305 Ph: (952) 956-4057 |
| NPI Number | 1386896744 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 9234290545 |
|---|---|
| Medicare Enrollment ID | O20081204000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386896744 | NPI | - | NPPES |
| 816898900 | Medicaid | MN | |
| 279GIGE | Other | MN | BCBSMN |
| 171122 | Other | MN | VCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43294 (Minnesota) | Primary |
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