| Integrated Patient Solutions Of Minnesota, Pc | |
|
1650 W End Blvd Ste 100 Office 175 St Louis Park MN 55416-5369 | |
| (980) 443-4852 | |
| Not Available |
| Full Name | Integrated Patient Solutions Of Minnesota, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 W End Blvd Ste 100, St Louis Park, Minnesota |
| Authorized Official Name and Position | Aaron Molitor (COO) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Patient Solutions Of Minnesota, Pc 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 | Integrated Patient Solutions Of Minnesota, Pc 1650 W End Blvd Ste 100 Office 175 St Louis Park MN 55416-5369 Ph: (980) 443-4852 |
| NPI Number | 1700654886 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 5496297368 |
|---|---|
| Medicare Enrollment ID | O20240606002212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700654886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Syed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20210830001068 |
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