Organization
MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN WEITZEL R.EEG.T (PARTNER)
(612) 730-8028
Entity
Organization
Contact information
Practice address
1766 ROSS AVE, SAINT PAUL, MN 55106-4237
(612) 730-8028
Mailing address
PO BOX 403, LAKEVILLE, MN 55044-0403
(866) 447-6463
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
—
—
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
03/30/2020
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