| Northern Oak Wellness | |
|
9315 Evergreen Blvd Nw Coon Rapids MN 55433 | |
| (612) 444-2987 | |
| Not Available |
| Full Name | Northern Oak Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9315 Evergreen Blvd Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Kelsey Sorensen (OWNER) |
| Authorized Official Contact | 6124442897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Oak Wellness 716 County Road 10 Ne # 189 Blaine MN 55434-2331 Ph: (612) 367-6040 | Northern Oak Wellness 9315 Evergreen Blvd Nw Coon Rapids MN 55433 Ph: (612) 444-2987 |
| NPI Number | 1932832854 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932832854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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