STEADY STATE MEDICINE LLC NPI 1104145978

NPI Information

  • NPI: 1104145978
  • Provider Name: STEADY STATE MEDICINE, LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 4001 STINSON BLVD STE 403
    MINNEAPOLIS, MN
    ZIP 55421
  • Phone: (612) 767-5966

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NPI Details

STEADY STATE MEDICINE, LLC is an addiction medicine family medicine in Minneapolis, MN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. STEADY STATE MEDICINE, LLC NPI is 1104145978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 STINSON BLVD STE 403
MINNEAPOLIS, MN
ZIP 55421-424
Phone: (612) 767-5966
Fax: (612) 706-9617

The provider's authorized official is Gerald R Werth .
The authorized official title is Owner and has the following contact phone number (612) 767-5966.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 5/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction Medicine1782MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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