Organization
ECC ADDICTION & TOXICOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GEDDES MD (VICE PRESIDENT)
(612) 439-1862
Entity
Organization
Contact information
Practice address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1862
Mailing address
PO BOX 86 LOCK BOX 12-0910, MINNEAPOLIS, MN 55486-0085
(612) 439-1862
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPI
—
MN
Enumeration date
01/25/2019
Last updated
10/30/2020
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