Organization
GERMANSON MD PSYCHIATRY LTD
Active
Organization
GERMANSON MD PSYCHIATRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TWILA BAUER GERMANSON MD (OWNER)
(952) 956-4057
Entity
Organization
Contact information
Practice address
13911 RIDGEDALE DRIVE, SUITE 320, MINNETONKA, MN 55305
(952) 956-4057
(952) 333-8196
Mailing address
1161 WAYZATA BLVD E, #228, WAYZATA, MN 55391-1935
(952) 956-4057
(952) 333-8196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171122
VCARE
MN
01
—
279GIGE
BCBSMN
MN
05
—
816898900
—
MN
Enumeration date
10/16/2008
Last updated
02/07/2022
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