NPI 1578832978
Andrea Rude
Practice location
- Address
- 12915 63rd Ave N, Maple Grove, MN 55369-6001
- Phone
- (763) 383-5800
Authorised official
- Name
- Joel Oberstar
- Title
- Ceo
- Phone
- (763) 383-5800
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1578832978
- Entity type
- Organization
- NPI issued
- 14 Dec 2011
- Record last updated
- 29 Dec 2011
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.