# MINNEAPOLIS V A MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902910375
- **Authorized official:** MARTHA ELIZABETH MANTHIE M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (612) 467-3591

## Contact information

- **Practice address:** ONE VETERAN'S DRIVE 127A, MINNEAPOLIS, MN 55417
- **Practice address phone:** (612) 467-3591
- **Practice address fax:** (612) 727-5693
- **Mailing address:** 5209 16TH AVE S, MINNEAPOLIS, MN 55417-1813
- **Mailing address phone:** (612) 724-8912
- **Mailing address fax:** (612) 727-5693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 5526 | MN | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020