Organization
UNIVERSITY OF MINNESOTA PHYSICIANS
Active
Other names
M Physicians Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SIBERT (CFO)
(612) 884-0600
Entity
Organization
Contact information
Practice address
5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416-1275
(122) 738-7106
(612) 273-8727
Mailing address
PO BOX 860217, MINNEAPOLIS, MN 55486-0217
(763) 782-6400
(763) 782-9558
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701372800
—
MN
Enumeration date
02/01/2007
Last updated
11/21/2024
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