Organization · Type 2 NPI

Medical Addiction Treatment Clinic

Addiction Medicine (Internal Medicine) Physician · Minneapolis, MN

NPI number 1891031209 Active

Practice location

3805 Washington Ave N
Minneapolis, MN 55412-2141

Call (612) 887-6282 Map

Fax (612) 437-4992

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401X52519 (MN)
Clinic/Center 261Q00000XNone listed
Medical Physician Assistant 363AM0700X12684 (MN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

6 other providers at this address

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About NPI 1891031209

Medical Addiction Treatment Clinic's National Provider Identifier is 1891031209, issued on Dec 13, 2012. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 17, 2022.