Individual
DR. JOHN THEOPHILE LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
521 BROADWAY AVENUE NORTH, FIVE COUNTY MENTAL HEALTH CENTER, BRAHAM, MN 55006
(320) 396-3333
(320) 396-3363
Mailing address
FIVE COUNTY MENTAL HEALTH CENTER, 521 BROADWAY AVENUE NORTH PO BOX 287, BRAHAM, MN 55006
(320) 396-3333
(320) 396-3363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023485
PREFERRED ONE
—
01
—
111284
OPTUM
—
01
—
148M4LI
BCBS
—
01
—
6140901
UBH
—
01
—
HP37277
HEALTHPARTNERS
—
01
—
P00026889
RAILROAD MEDICARE
—
Enumeration date
02/07/2007
Last updated
07/08/2007
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