Organization
NORTHSTAR PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WILLIAM KEMPER M.D. (MEDICAL DIRECTOR)
(612) 644-8835
Entity
Organization
Contact information
Practice address
924 RICE ST, SAINT PAUL, MN 55117-4987
(612) 644-8835
Mailing address
924 RICE ST, SAINT PAUL, MN 55117-4987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1952
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
1952
MN
Other
Enumeration date
10/07/2015
Last updated
10/20/2015
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