| Midwestern Neuropsychology Pllc | |
|
6600 France Ave S Suite 670 Minneapolis MN 55435-1805 | |
| (952) 928-9003 | |
| (952) 928-2000 |
| Full Name | Midwestern Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6600 France Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Michael Jed Fuhrman (OWNER) |
| Authorized Official Contact | 9529289003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestern Neuropsychology Pllc 6600 France Ave S Suite 670 Minneapolis MN 55435-1805 Ph: (952) 928-9003 | Midwestern Neuropsychology Pllc 6600 France Ave S Suite 670 Minneapolis MN 55435-1805 Ph: (952) 928-9003 |
| NPI Number | 1871701912 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 1759276835 |
|---|---|
| Medicare Enrollment ID | O20040218000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871701912 | NPI | - | NPPES |
| 218L1MI | Other | MN | BCBS GROUP NUMBER |
| 302253600 | Medicaid | MN | |
| CO3442 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Michael J Fuhrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114135241 PECOS PAC ID: 7517852601 Enrollment ID: I20040309000286 |
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