Organization
JOHN HONEBRINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET MARIE MEULEMANS (OFFICE MANAGER)
(651) 307-7865
Entity
Organization
Contact information
Practice address
1700 W HWY 36, 210 ROSEDALE TOWERS, ROSEVILLE, MN 55113
(651) 490-9920
(651) 578-1125
Mailing address
1700 W HWY 36, 210 ROSEDALE TOWERS, ROSEVILLE, MN 55113
(651) 490-9920
(651) 578-1125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173348600
—
MN
01
—
23870HO
BCBS
MN
Enumeration date
06/17/2008
Last updated
07/22/2008
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