Whalio Doctors

NPI 1003243023

Specialized Treatment Services

Organisation Case Management Agency Minneapolis, MN

Practice location

Address
1132 Central Ave NE, Minneapolis, MN 55413-1512
Phone
(612) 902-5906
Fax
(612) 236-1701

Authorised official

Name
Denise Wagner
Title
Program Manager
Phone
(612) 236-1705

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 303469 (MN)

Registry record

NPI
1003243023
Entity type
Organization
NPI issued
4 Oct 2013
Record last updated
4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.