West Metro Psychiatry, Pc

NPI 1073864682 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1073864682
Enumeration Date 09/21/2012
Last Updated 09/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARLES CHARLES
Position PRESIDENT
Phone (952) 546-1225
Fax
Practice Location
13911 RIDGEDALE DR STE 255
MINNETONKA MN, 55305-1773, US
Phone (952) 546-1225
Fax
Business Location
13911 RIDGEDALE DR STE 255
MINNETONKA MN, 55305-1773, US
Phone (952) 546-1225
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
Remove 1073864682 NPI Number
 

According to our database, West Metro Psychiatry, Pc NPI is 1073864682, taxonomy code is 2084P0800X West Metro Psychiatry, Pc physically located at 13911 Ridgedale Dr Ste 255, Minnetonka MN, 55305-1773. NPI Number 1033115704 has the healthcare provider type.

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1073864682 NPI number is provided on an as is basis without warranty of any kind. 1073864682 is maintained by the National Plan & Provider Enumeration System. The contents of West Metro Psychiatry, Pc are for informational purposes only.