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Organization

ECC ADDICTION & TOXICOLOGY SERVICES LLC

Active
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Organization

ECC ADDICTION & TOXICOLOGY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY GEDDES MD (VICE PRESIDENT)
(612) 439-1862
Entity
Organization

Contact information

Practice address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1862
Mailing address
PO BOX 86 LOCK BOX 12-0910, MINNEAPOLIS, MN 55486-0085
(612) 439-1862

Taxonomy

Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
NULL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—

Other

Enumeration date
01/25/2019
Last updated
10/30/2020
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