Organization
RECOVERY PARTNERS, PC AT PLYMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SEPPALA MD (CHIEF MEDICAL OFFICER)
(651) 213-4825
Entity
Organization
Contact information
Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(651) 213-4286
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(651) 213-4286
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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