| William Spring Md Llc | |
|
4826 Chicago Ave Ste 208 Minneapolis MN 55417-1063 | |
| (612) 888-9639 | |
| Not Available |
| Full Name | William Spring Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4826 Chicago Ave Ste 208, Minneapolis, Minnesota |
| Authorized Official Name and Position | William Spring (MEMBER) |
| Authorized Official Contact | 6128889639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Spring Md Llc 4826 Chicago Ave Ste 208 Minneapolis MN 55417-1063 Ph: (612) 888-9639 | William Spring Md Llc 4826 Chicago Ave Ste 208 Minneapolis MN 55417-1063 Ph: (612) 888-9639 |
| NPI Number | 1235554387 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 05/09/2021 |
| Certification Date | 05/09/2021 |
| Medicare PECOS PAC ID | 3870723943 |
|---|---|
| Medicare Enrollment ID | O20140312000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235554387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 27561 (Minnesota) | Primary |
| Provider Name | William Donald Spring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013920578 PECOS PAC ID: 5698905768 Enrollment ID: I20140312000038 |
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