| University Of Minnesota Physicians | |
|
5775 Wayzata Blvd Ste 255 St Louis Park MN 55416-1275 | |
| (122) 738-7106 | |
| (612) 273-8727 |
| Full Name | University Of Minnesota Physicians |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5775 Wayzata Blvd Ste 255, St Louis Park, Minnesota |
| Authorized Official Name and Position | Mary A Johnson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6128840802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Minnesota Physicians 6300 Shingle Creek Pkwy Ste 600 Brooklyn Center MN 55430-2124 Ph: (763) 782-6400 | University Of Minnesota Physicians 5775 Wayzata Blvd Ste 255 St Louis Park MN 55416-1275 Ph: (122) 738-7106 |
| NPI Number | 1144368531 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144368531 | NPI | - | NPPES |
| 701372800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Lee H Beecher Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Creekside Bldg Suite 121, St Louis Park, MN 55426 Phone: 952-935-7116 Fax: 952-935-0687 | |
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Dennis Philander, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Blvd, Suite 700, St Louis Park, MN 55416 Phone: 612-314-8072 Fax: 612-314-8072 | |
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