| Minneapolis Clinical Associates In Psychiatry Ltd | |
|
2960 Winnetka Ave N Ste 208 Crystal MN 55427-2853 | |
| (763) 512-1090 | |
| Not Available |
| Full Name | Minneapolis Clinical Associates In Psychiatry Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2960 Winnetka Ave N, Crystal, Minnesota |
| Authorized Official Name and Position | Susan Mork (OFFICE MANAGER) |
| Authorized Official Contact | 7635121090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minneapolis Clinical Associates In Psychiatry Ltd 2960 Winnetka Ave N Ste 208 Crystal MN 55427-2853 Ph: (763) 512-1090 | Minneapolis Clinical Associates In Psychiatry Ltd 2960 Winnetka Ave N Ste 208 Crystal MN 55427-2853 Ph: (763) 512-1090 |
| NPI Number | 1679563142 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679563142 | NPI | - | NPPES |
| 109039 | Other | MN | U-CARE MN |
| 130512300 | Medicaid | MN | |
| 7079249 | Other | MN | AETNA |
| 1814 | Other | MN | UNITED HEALTHCARE |
| 11618 | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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