Whalio Doctors

NPI 1043818354

Eddiction Medicine PLLC

Organisation Addiction Medicine (Preventive Medicine) Physician Lindstrom, MN

Practice location

Address
12018 285th Street, Lindstrom, MN 55045
Phone
(612) 393-1212
Fax
(651) 400-3892
Mailing address
PO Box 833, Lindstrom, MN 55045-0833

Authorised official

Name
Cori Myer
Title
Office Staff
Phone
(612) 393-1212

Registered specialties

Addiction Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

Registry record

NPI
1043818354
Entity type
Organization
NPI issued
9 Oct 2020
Record last updated
4 May 2021

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.