NPI 1023589082

John Rundquist

Practitioner Addiction (Substance Use Disorder) Counselor Edina, MN

Practice location

Address: 7250 Metro Blvd STE 100, Edina, MN 55439-2145
Phone: (612) 374-0506
Fax: (651) 323-2051
Mailing address: 2823 Wayzata Blvd, Minneapolis, MN 55405-2125

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 300347 (MN)

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Registry record

NPI: 1023589082
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 29 Mar 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.