Organization
GERIATRIC & GENERAL PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CALLAHAN MD (OWNER)
(952) 920-6748
Entity
Organization
Contact information
Practice address
6525 DREW AVE S, EDINA, MN 55435
(952) 920-6748
(952) 920-3863
Mailing address
6525 DREW AVE S, EDINA, MN 55435
(952) 920-6748
(952) 920-3863
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
23237
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57Q79CA
BCBS
MN
Enumeration date
09/07/2006
Last updated
01/29/2008
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