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Organization
RECOVERY PARTNERS, PC AT MAPLE GROVE
Active
Organization
RECOVERY PARTNERS, PC AT MAPLE GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SEPPALA MD (CHIEF MEDICAL OFFICER)
(651) 213-4825
Entity
Organization
Contact information
Practice address
7001 E FISH LAKE RD, SUITE 120, MAPLE GROVE, MN 55311-2841
(651) 213-4286
(651) 213-4543
Mailing address
7001 E FISH LAKE RD, SUITE 120, MAPLE GROVE, MN 55311-2841
(651) 213-4286
(651) 213-4543
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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