Unknown Individual – Psychiatry Physician, NPI 1124033899
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1085, Maple Street, Farmington, Dakota County, Minnesota, 55024, United States
FARMINGTON, MO 636401955
Phone: (573) 756-5353
Fax: (573) 756-4557
Type: Location
Hawthorne Lane, Farmington, Capitol Planning Region, Connecticut, 06032, United States
FARMINGTON, MO 636401151
Phone: (573) 756-2732
Fax: (573) 756-6844
Type: Mailing
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
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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 63640)
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