Organization
CITY PSYCHIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KERMATH M.D. (OWNER)
(612) 554-6794
Entity
Organization
Contact information
Practice address
4570 W 77TH ST, #315, EDINA, MN 55435-5008
(612) 554-6794
Mailing address
4570 W 77TH ST, #315, EDINA, MN 55435-5008
(612) 554-6794
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
027457
MN
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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