Hansen Neuropsychiatric Clinic Pa | |
4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 | |
(952) 920-6100 | |
Not Available |
Full Name | Hansen Neuropsychiatric Clinic Pa |
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Speciality | Clinic/center |
Location | 4601 Excelsior Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | Carl R Hansen (PRESIDENT) |
Authorized Official Contact | 9529206100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hansen Neuropsychiatric Clinic Pa 4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 Ph: () - | Hansen Neuropsychiatric Clinic Pa 4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 Ph: (952) 920-6100 |
NPI Number | 1154598878 |
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Provider Enumeration Date | 05/12/2008 |
Last Update Date | 05/12/2008 |
Identifier | Type | State | Issuer |
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1154598878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1103 (Minnesota) | Primary |
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