Medicine Lake Consultation Group,Pllc in St Louis Park - Psychiatry
Medicine Lake Consultation Group,Pllc - NPI 1881753564
Medicine Lake Consultation Group,Pllc is a Psychiatry in St Louis Park, Minnesota. Medicine Lake Consultation Group,Pllc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Medicine Lake Consultation Group,Pllc is 1881753564. The last update date is 2015-01-23.
Medicine Lake Consultation Group,Pllc's current location address is 1155 Ford Road, St Louis Park, Minnesota. You can contact this provider via phone number 9523781800 and fax number 9523781714. The mailing address for Medicine Lake Consultation Group,Pllc is 1155 Ford Road, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medicine Lake Consultation Group,Pllc |
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Address | 1155 Ford Road, St Louis Park, Minnesota |
Phone Number | 9523781800 |
Fax Number | 9523781714 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Ram C Ani |
Telephone Number | 9523781800 |
NPI Number Detail
NPI Number | 1881753564 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
Address | 1155 Ford Road |
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City | St Louis Park |
State | Minnesota (MN) |
Post Code | 55426 |
Phone Number | 9523781800 |
Fax Number | 9523781714 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 2084P0800X |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code issued to Medicine Lake Consultation Group,Pllc by the Centers for Medicare & Medicaid Services?
The Medicine Lake Consultation Group,Pllc has been assigned the NPI (National Provider Identifier) 1881753564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Medicine Lake Consultation Group,Pllc's facilities are situated?
The facilities of Medicine Lake Consultation Group,Pllc are physically located at the following address: 1155 Ford Road, St Louis Park, MN, 55426.
What is the area of specialization for Medicine Lake Consultation Group,Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Medicine Lake Consultation Group,Pllc is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
When did Medicine Lake Consultation Group,Pllc receive its 1881753564 assignment?
The Medicine Lake Consultation Group,Pllc was assigned its 1881753564 on 2006-12-08, which is the date when this unique identifier was issued to the organization.
When was the information related to Medicine Lake Consultation Group,Pllc most recently updated or refreshed?
The details pertaining to the Medicine Lake Consultation Group,Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-23.
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