Organization
DOC SQUAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ST. JAMES (PRESIDENT)
(952) 545-4000
Entity
Organization
Contact information
Practice address
6801 WAYZATA BLVD, SUITE 3, ST LOUIS PARK, MN 55426-1736
(952) 545-4000
Mailing address
6801 WAYZATA BLVD, SUITE 3, ST LOUIS PARK, MN 55426-1736
(952) 545-4000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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