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Organization

EJNIK AND ASSOCIATES LLC

Active
Other names
Northern Access Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL WILLIAM EJNIK CNP, PMHNP (NURSE PRACTITIONER)
(320) 894-0094
Entity
Organization

Contact information

Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
(218) 759-4807
Mailing address
23713 STATE 200, LAPORTE, MN 56461-4104
(320) 894-0094
(218) 759-4807

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/26/2024
Last updated
10/31/2024
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