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Organization

OUR LADY OF GOOD COUNSEL THERAPY LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM GRACZYK (OWNER)
(612) 946-8983
Entity
Organization

Contact information

Practice address
1001 TWELVE OAKS CENTER DR STE 1030F, WAYZATA, MN 55391-4320
(612) 946-8983
Mailing address
1001 TWELVE OAKS CENTER DR STE 1030F, WAYZATA, MN 55391-4320

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/13/2023
Last updated
06/13/2023
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform