| Neurostim Tms Minnesota Pc | |
|
3033 Excelsior Blvd Ste 215 Minneapolis MN 55416-5274 | |
| (253) 200-2764 | |
| Not Available |
| Full Name | Neurostim Tms Minnesota Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3033 Excelsior Blvd Ste 215, Minneapolis, Minnesota |
| Authorized Official Name and Position | Amit Mohan (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2532005763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurostim Tms Minnesota Pc 10700 Meridian Ave N # 406 Seattle WA 98133-9008 Ph: (206) 620-1665 | Neurostim Tms Minnesota Pc 3033 Excelsior Blvd Ste 215 Minneapolis MN 55416-5274 Ph: (253) 200-2764 |
| NPI Number | 1649005307 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Medicare PECOS PAC ID | 7214451046 |
|---|---|
| Medicare Enrollment ID | O20250414001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649005307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Benjamin Otopalik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942688957 PECOS PAC ID: 6608182266 Enrollment ID: I20241018001050 |
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