| Hansen Neuropsychiatric Clinic Pa | |
|
4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 | |
| (952) 920-6100 | |
| Not Available |
| Full Name | Hansen Neuropsychiatric Clinic Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 4601 Excelsior Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Carl R Hansen (PRESIDENT) |
| Authorized Official Contact | 9529206100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansen Neuropsychiatric Clinic Pa 4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 Ph: () - | Hansen Neuropsychiatric Clinic Pa 4601 Excelsior Blvd Suite 300 St Louis Park MN 55416-4960 Ph: (952) 920-6100 |
| NPI Number | 1154598878 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154598878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1103 (Minnesota) | Primary |
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