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Organization

ON CALL CLINICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY GOLDETSKY (OWNER)
(763) 544-1000
Entity
Organization

Contact information

Practice address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(763) 544-1000
(612) 225-1834
Mailing address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(763) 544-1000
(612) 225-1834

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MN

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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