| Integro Clinic Pllc | |
|
6545 France Ave S Ste 501 Edina MN 55435-2116 | |
| (612) 428-4757 | |
| Not Available |
| Full Name | Integro Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6545 France Ave S Ste 501, Edina, Minnesota |
| Authorized Official Name and Position | Alfredo A Massa Succar (MD/OWNER) |
| Authorized Official Contact | 6126950949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integro Clinic Pllc 6013 Killarney Ln S Edina MN 55436-1811 Ph: (614) 817-8141 | Integro Clinic Pllc 6545 France Ave S Ste 501 Edina MN 55435-2116 Ph: (612) 428-4757 |
| NPI Number | 1114602281 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114602281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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