West Metro Psychiatry, Pc | |
13911 Ridgedale Dr Ste 255 Minnetonka MN 55305-1773 | |
(952) 546-1225 | |
Not Available |
Full Name | West Metro Psychiatry, Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13911 Ridgedale Dr Ste 255, Minnetonka, Minnesota |
Authorized Official Name and Position | Charles Pearson (PRESIDENT) |
Authorized Official Contact | 9525461225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Metro Psychiatry, Pc 13911 Ridgedale Dr Ste 255 Minnetonka MN 55305-1773 Ph: (952) 546-1225 | West Metro Psychiatry, Pc 13911 Ridgedale Dr Ste 255 Minnetonka MN 55305-1773 Ph: (952) 546-1225 |
NPI Number | 1073864682 |
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Provider Enumeration Date | 09/21/2012 |
Last Update Date | 09/21/2012 |
Identifier | Type | State | Issuer |
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1073864682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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