Organization
MIDWESTERN NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JED FUHRMAN PHD (OWNER)
(952) 928-9003
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S, SUITE 670, MINNEAPOLIS, MN 55435-1805
(952) 928-9003
(952) 928-2000
Mailing address
6600 FRANCE AVE S, SUITE 670, MINNEAPOLIS, MN 55435-1805
(952) 928-9003
(952) 928-2000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218L1MI
BCBS GROUP NUMBER
MN
05
—
302253600
—
MN
01
—
CO3442
MEDICARE
MN
Enumeration date
05/21/2007
Last updated
03/31/2015
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