Organization
SDR PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA DIVINETZ ROMERO MD (PSYCHIATRIST)
(612) 872-1500
Entity
Organization
Contact information
Practice address
5200 WILLSON RD, #405, EDINA, MN 55424-1332
(612) 310-9960
(612) 872-2205
Mailing address
PO BOX 24062, 3948 W 49 1/2 STREET, EDINA, MN 55424-0062
(612) 872-1500
(612) 872-2205
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24545
MN
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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