MEDICAL ADDICTION TREATMENT CLINIC
Organization (NPI-2)
Active
Internal Medicine, Addiction Medicine
Provider Information
- NPI Number
1891031209- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3805 WASHINGTON AVE N, MINNEAPOLIS, MN, 554122141
- Phone
- (612) 887-6282
- Fax
- (612) 437-4992
Specialties & Taxonomies
Clinic/Center
Physician Assistant, Medical
License: MN #12684
Nurse Practitioner, Psych/Mental Health
Internal Medicine, Addiction Medicine
Primary License: MN #52519