Organization
EVERGREEN HEALTH SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANE JOY BURTON (OFFICE MANAGER)
(651) 287-8781
Entity
Organization
Contact information
Practice address
514 SAINT PETER ST, SUITE 220, SAINT PAUL, MN 55102-1001
(651) 287-8781
Mailing address
3437 SAINT LOUIS AVE, MINNEAPOLIS, MN 55416-4396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31023
MN
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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