| St. David's Center | |
|
3395 Plymouth Rd Minnetonka MN 55305-3765 | |
| (952) 939-0396 | |
| Not Available |
| Full Name | St. David's Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3395 Plymouth Rd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Julie Sjordal (CEO) |
| Authorized Official Contact | 9529390396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. David's Center 3395 Plymouth Rd Minnetonka MN 55305-3765 Ph: () - | St. David's Center 3395 Plymouth Rd Minnetonka MN 55305-3765 Ph: (952) 939-0396 |
| NPI Number | 1376752337 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 8628292455 |
|---|---|
| Medicare Enrollment ID | O20140617000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376752337 | NPI | - | NPPES |
| 426345600 | Medicaid | MN |
| Provider Name | Joan M Trieff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679070783 PECOS PAC ID: 6608262696 Enrollment ID: I20240703003314 |
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