Organization
INTEGRO CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO A MASSA SUCCAR MD (MD/OWNER)
(612) 695-0949
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE 501, EDINA, MN 55435-2116
(612) 428-4757
Mailing address
6013 KILLARNEY LN S, EDINA, MN 55436-1811
(614) 817-8141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
05/23/2024
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