| M Health Fairview Neurology Clinic - Maplewood | |
|
1650 Beam Ave Ste 200 Maplewood MN 55109-1147 | |
| (651) 221-9051 | |
| (651) 223-5220 |
| Full Name | M Health Fairview Neurology Clinic - Maplewood |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1650 Beam Ave Ste 200, Maplewood, Minnesota |
| Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 6126726594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Health Fairview Neurology Clinic - Maplewood 400 Stinson Blvd Minneapolis MN 55413-2614 Ph: (612) 672-2258 | M Health Fairview Neurology Clinic - Maplewood 1650 Beam Ave Ste 200 Maplewood MN 55109-1147 Ph: (651) 221-9051 |
| NPI Number | 1902311210 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902311210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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