Organization
COLLABORATIVE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GERSTNER MD (MANAGING MEMBER)
(651) 504-5103
Entity
Organization
Contact information
Practice address
5995 OREN AVE N STE 203, OAK PARK HEIGHTS, MN 55082-6379
(651) 504-5103
Mailing address
1406 HILLTOP RDG, HOULTON, WI 54082-2013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/22/2024
Last updated
03/25/2024
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