Organization
NORTHERN INTEGRATED HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS COCHRANE SCHLUTTER (PSYCHOLOGIST)
(952) 548-9340
Entity
Organization
Contact information
Practice address
6200 EXCELSIOR BLVD, SUITE 202, ST LOUIS PARK, MN 55416-2730
(952) 548-9340
Mailing address
6200 EXCELSIOR BLVD, SUITE 202, ST LOUIS PARK, MN 55416-2730
(952) 548-9340
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
35122
MN
208D00000X
General Practice Physician
24280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063225200
—
MN
Enumeration date
03/25/2010
Last updated
03/25/2010
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