Organization
ACCORD HEALTH, PLLC
Active
Other names
Accord Health
Organization subpart
No
Provider details
NPI number
Authorized official
VAMSI DWARAM (MANAGER)
(651) 955-6747
Entity
Organization
Contact information
Practice address
11230 86TH AVE N, MAPLE GROVE, MN 55369-4510
(651) 955-6747
Mailing address
11230 86TH AVE N, MAPLE GROVE, MN 55369-4510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/25/2022
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