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 |
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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 |
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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 |
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Provider Enumeration Date | 12/18/2023 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 5496297368 |
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Medicare Enrollment ID | O20240606002212 |
Identifier | Type | State | Issuer |
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1700654886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Syed Akhtar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20210830001068 |
Provider Name | Christine A Gallup |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1083981831 PECOS PAC ID: 8224422597 Enrollment ID: I20240923000113 |
Provider Name | Samantha M Walton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568013928 PECOS PAC ID: 5193159168 Enrollment ID: I20241031001157 |
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