Unknown Individual – Psychiatry Physician, NPI 1740255280
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2497, 7th Avenue East, Saint Paul, Ramsey County, Minnesota, 55109, United States
SUITE 101
NORTH ST. PAUL, MN 551092496
Phone: (651) 769-6437
Fax: (651) 769-6426
Type: Mailing
7616, Currell Boulevard, Woodbury, Washington County, Minnesota, 55125, United States
SUITE 290
WOODBURY, MN 551258204
Phone: (651) 769-6550
Fax: (651) 769-6599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55109)
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