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River Of Life Services Llc
Addiction Medicine (Internal Medicine) Physician in St Louis Park, Minnesota
NPI 1144400011

River Of Life Services Llc is an Addiction Medicine (Internal Medicine) Physician based in St Louis Park, MN and is specialized in Addiction Medicine. River Of Life Services Llc practices in St Louis Park, MN. The NPI Number for River Of Life Services Llc is 1144400011 and holds a License No. 45852 (Minnesota).

The current practice location address for River Of Life Services Llc is 6200 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-548-9344 and via fax at 952-548-9344.

Location: 6200 Excelsior Blvd, St Louis Park, MN, 55416-2730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144400011
Provider Name
River Of Life Services Llc
Credential
Provider Entity Type
Organization
Address
6200 Excelsior Blvd, St Louis Park, MN, 55416-2730
Phone Number
952-548-9344
Fax Number
952-548-9344
Provider Enumeration Date
11/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6200 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2730
Phone Number
952-548-9344
Fax Number
952-548-9344
person
Provider Business Mailing Address Details
Address
6200 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2730
Phone Number
952-548-9344
Fax Number
952-548-9344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
45852 (Minnesota)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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