| Mhr | |
|
7766 Highway 65 Ne Spring Lake Park MN 55432-2868 | |
| (763) 789-4895 | |
| (763) 789-4798 |
| Full Name | Mhr |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 7766 Highway 65 Ne, Spring Lake Park, Minnesota |
| Authorized Official Name and Position | Carleen Howell (ASSOC DIR OF ACCTG & BUSINESS SERV) |
| Authorized Official Contact | 6513653612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhr 762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 Ph: (651) 659-2914 | Mhr 7766 Highway 65 Ne Spring Lake Park MN 55432-2868 Ph: (763) 789-4895 |
| NPI Number | 1891275582 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891275582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 30635 (Minnesota) | Primary |
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