Northern Integrated Health, Inc. | |
6200 Excelsior Blvd Suite 202 St Louis Park MN 55416-2730 | |
(952) 548-9340 | |
Not Available |
Full Name | Northern Integrated Health, Inc. |
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Speciality | Psychiatry & Neurology - Addiction Psychiatry |
Location | 6200 Excelsior Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | Lois Cochrane Schlutter (PSYCHOLOGIST) |
Authorized Official Contact | 9525489340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northern Integrated Health, Inc. 6200 Excelsior Blvd Suite 202 St Louis Park MN 55416-2730 Ph: (952) 548-9340 | Northern Integrated Health, Inc. 6200 Excelsior Blvd Suite 202 St Louis Park MN 55416-2730 Ph: (952) 548-9340 |
NPI Number | 1831413442 |
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Provider Enumeration Date | 03/25/2010 |
Last Update Date | 03/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831413442 | NPI | - | NPPES |
063225200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 35122 (Minnesota) | Primary |
208D00000X | General Practice | 24280 (Minnesota) | Secondary |
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