| Geriatric & General Psychiatry | |
|
6525 Drew Ave S Edina MN 55435 | |
| (952) 920-6748 | |
| (952) 920-3863 |
| Full Name | Geriatric & General Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 6525 Drew Ave S, Edina, Minnesota |
| Authorized Official Name and Position | William Callahan (OWNER) |
| Authorized Official Contact | 9529206748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric & General Psychiatry 6525 Drew Ave S Edina MN 55435 Ph: (952) 920-6748 | Geriatric & General Psychiatry 6525 Drew Ave S Edina MN 55435 Ph: (952) 920-6748 |
| NPI Number | 1114020641 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 01/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114020641 | NPI | - | NPPES |
| 57Q79CA | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 23237 (Minnesota) | Primary |
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