ADDICTION CARE PRACTITIONERS PA NPI 1699054361

NPI Information

NPI: 1699054361
Provider Name: ADDICTION CARE PRACTITIONERS, PA
Classification: Anesthesiology - 207LA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
2904 JOHNSON ST NE
MINNEAPOLIS, MN
ZIP 55418
Phone: (612) 782-0900
Get Directions

ADDICTION CARE PRACTITIONERS, PA is an addiction medicine anesthesiology in Minneapolis, MN. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. ADDICTION CARE PRACTITIONERS, PA NPI is 1699054361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2904 JOHNSON ST NE
MINNEAPOLIS, MN
ZIP 55418-234
Phone: (612) 782-0900
Fax: (612) 788-4930

The provider's authorized official is Arthur Lee Fretag .
The authorized official title is Administrator and has the following contact phone number (612) 782-0900.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 8/11/2011.

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
1	207LA0401X	Anesthesiology	Addiction Medicine	22350	MINNESOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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