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7001 E Fish Lake Rd Wedgewood Office Park Maple Grove MN 55311-2841 | |
| (800) 257-7800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 7001 E Fish Lake Rd, Maple Grove, Minnesota |
| Authorized Official Name and Position | Arnold Stueber (CFO) |
| Authorized Official Contact | 6512134729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15251 Pleasant Valley Rd Center City MN 55012-9640 Ph: (800) 257-7800 | 7001 E Fish Lake Rd Wedgewood Office Park Maple Grove MN 55311-2841 Ph: (800) 257-7800 |
| NPI Number | 1306149463 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306149463 | NPI | - | NPPES |
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