Midwest Tms Llc | |
1309 Oak Ave Ste 207 Waconia MN 55387-1080 | |
(952) 442-3828 | |
Not Available |
Full Name | Midwest Tms Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1309 Oak Ave Ste 207, Waconia, Minnesota |
Authorized Official Name and Position | Clay Joseph Pavlis (OWNER) |
Authorized Official Contact | 6058641795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Tms Llc 1309 Oak Ave Ste 207 Waconia MN 55387-1080 Ph: (952) 442-3828 | Midwest Tms Llc 1309 Oak Ave Ste 207 Waconia MN 55387-1080 Ph: (952) 442-3828 |
NPI Number | 1457897167 |
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Provider Enumeration Date | 01/19/2017 |
Last Update Date | 01/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457897167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 47358 (Minnesota) | Primary |
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