Organization
MINNEAPOLIS V A MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ELIZABETH MANTHIE M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(612) 467-3591
Entity
Organization
Contact information
Practice address
ONE VETERAN'S DRIVE 127A, MINNEAPOLIS, MN 55417
(612) 467-3591
(612) 727-5693
Mailing address
5209 16TH AVE S, MINNEAPOLIS, MN 55417-1813
(612) 724-8912
(612) 727-5693
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5526
MN
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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