| Recovery Partners, Pc At Maple Grove | |
|
7001 E Fish Lake Rd Suite 120 Maple Grove MN 55311-2841 | |
| (651) 213-4286 | |
| (651) 213-4543 |
| Full Name | Recovery Partners, Pc At Maple Grove |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 7001 E Fish Lake Rd, Maple Grove, Minnesota |
| Authorized Official Name and Position | Marvin Seppala (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6512134825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Partners, Pc At Maple Grove 7001 E Fish Lake Rd Suite 120 Maple Grove MN 55311-2841 Ph: (651) 213-4286 | Recovery Partners, Pc At Maple Grove 7001 E Fish Lake Rd Suite 120 Maple Grove MN 55311-2841 Ph: (651) 213-4286 |
| NPI Number | 1861851487 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861851487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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