| Midwest Innovative Neurodiagnostics Llp | |
|
1766 Ross Ave Saint Paul MN 55106-4237 | |
| (612) 730-8028 | |
| Not Available |
| Full Name | Midwest Innovative Neurodiagnostics Llp |
|---|---|
| Speciality | Specialist/technologist, Other - Eeg |
| Location | 1766 Ross Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Meagan Weitzel (PARTNER) |
| Authorized Official Contact | 6127308028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Innovative Neurodiagnostics Llp Po Box 403 Lakeville MN 55044-0403 Ph: (866) 447-6463 | Midwest Innovative Neurodiagnostics Llp 1766 Ross Ave Saint Paul MN 55106-4237 Ph: (612) 730-8028 |
| NPI Number | 1255962098 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255962098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| 246ZE0500X | Specialist/technologist, Other - Eeg | (* (Not Available)) | Primary |
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