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Organization

ADDICTION CARE PRACTITIONERS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTHUR LEE FRETAG (ADMINISTRATOR)
(612) 782-0900
Entity
Organization

Contact information

Practice address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Mailing address
17010 COUNTY ROAD 47, PLYMOUTH, MN 55446-1124
(763) 559-1110
(763) 559-7668

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
22350
MN

Other

Enumeration date
08/11/2011
Last updated
08/11/2011
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