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Northern Integrated Health, Inc.
General Practice Physician in St Louis Park, Minnesota
NPI 1831413442

Northern Integrated Health, Inc. is a General Practice Physician based in St Louis Park, MN. Northern Integrated Health, Inc. practices in St Louis Park, MN. The NPI Number for Northern Integrated Health, Inc. is 1831413442 and holds a License No. 35122 (Minnesota).

The current practice location address for Northern Integrated Health, Inc. is 6200 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-548-9340.

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
1831413442
Provider Name
Northern Integrated Health, Inc.
Credential
Provider Entity Type
Organization
Address
6200 Excelsior Blvd, St Louis Park, MN, 55416-2730
Phone Number
952-548-9340
Fax Number
Provider Enumeration Date
03/25/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
063225200 05 MN
institution
Provider Business Practice Location Address Details
Address
6200 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2730
Phone Number
952-548-9340
Fax Number
person
Provider Business Mailing Address Details
Address
6200 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2730
Phone Number
952-548-9340
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
24280 (Minnesota)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35122 (Minnesota)
Definition
Definition to come...
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