Jay Philip Wistrom LADC

  • NPI 1144587452
According to our database, the NPI number for Jay Philip Wistrom LADC is 1144587452 and activated since 12 years ago. Jay Philip Wistrom LADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1321 13th St N, Saint Cloud, MN 56303. You can also contact Jay Philip Wistrom LADC via telephone number is (320) 252-5010. Provider NPI information was last updated on 04/12/2012.

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Overview of Jay Philip Wistrom LADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/12/2012
  • Last updated: 04/12/2012

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 303309
  • License State: MN

Provider Mailing Address

  • Address: 1321 13th St N
    Saint Cloud, MN 56303
  • Phone: 320-252-5010
  • Fax: 320-203-1855

Provider Practice Location

  • Address: 1321 13th St N
    Saint Cloud, MN 56303
  • Phone: 320-252-5010
  • Fax: 320-203-1855

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 303309
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jay Philip Wistrom LADC?
  • A: The npi number for Jay Philip Wistrom LADC is 1144587452.
  • Q: What are Jay Philip Wistrom LADC's specialties?
  • A: Jay Philip Wistrom LADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Jay Philip Wistrom LADC?
  • A: The medical license number for Jay Philip Wistrom LADC is 303309 and issued in MN in USA.
  • Q: Where is Jay Philip Wistrom LADC practice location?
  • A: Jay Philip Wistrom LADC is practicing at 1321 13th St N, Saint Cloud, MN 56303.
  • Q: How to contact Jay Philip Wistrom LADC?
  • A: You can contact Jay Philip Wistrom LADC via 320-252-5010.