Organization
TASKS UNLIMITED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR B JOHNSON (EXECUTIVE DIRECTOR)
(612) 871-3320
Entity
Organization
Contact information
Practice address
2419 NICOLLET AVE, MINNEAPOLIS, MN 55404-3450
(612) 871-3320
(612) 871-0432
Mailing address
2419 NICOLLET AVE, MINNEAPOLIS, MN 55404-3450
(612) 871-3320
(612) 871-0432
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477288100
—
MN
01
—
GROUP# 099J2-TA
BLUE CROSS BLUE SHEILD
MN
Enumeration date
02/01/2007
Last updated
10/07/2024
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