Organization
ABBOTT NORTHWESTERN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BETH KEIZER (PHYSICIAN ASSISTANT)
(651) 645-7277
Entity
Organization
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
1425 JESSAMINE AVE W, APT 208, SAINT PAUL, MN 55108-2685
(651) 645-7277
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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