institution
Medical Addiction Treatment Clinic
Psychiatric/Mental Health Nurse Practitioner in Minneapolis, Minnesota
NPI 1891031209

Medical Addiction Treatment Clinic is a Psychiatric/Mental Health Nurse Practitioner based in Minneapolis, MN and is specialized in Psychiatric/Mental Health. Medical Addiction Treatment Clinic practices in Minneapolis, MN. The NPI Number for Medical Addiction Treatment Clinic is 1891031209 and holds a License No. 52519 (Minnesota).

The current practice location address for Medical Addiction Treatment Clinic is 3805 Washington Ave N, Minneapolis, MN and can be reached out via phone at 612-887-6282 and via fax at 612-437-4992. You can also correspond with Medical Addiction Treatment Clinic through the mailing address at 3805 WASHINGTON AVE N, MINNEAPOLIS, MN - 55412-2141 (mailing address contact number: 612-887-6282).

Location: 3805 Washington Ave N, Minneapolis, MN, 55412-2141
institution
Provider Profile Details
NPI Number
1891031209
Provider Name
Medical Addiction Treatment Clinic
Credential
Provider Entity Type
Organization
Address
3805 Washington Ave N, Minneapolis, MN, 55412-2141
Phone Number
612-887-6282
Fax Number
612-437-4992
Provider Enumeration Date
12/13/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3805 Washington Ave N
City
State
Zip
55412-2141
Phone Number
612-887-6282
Fax Number
612-437-4992
person
Provider Business Mailing Address Details
Address
3805 Washington Ave N
City
State
Zip
55412-2141
Phone Number
612-887-6282
Fax Number
612-437-4992
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
12684 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
52519 (Minnesota)
Definition
Definition to come...
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