BIRCH BEHAVIORAL MEDICINE, PLLC

WHITE BEAR LAKE, MN
NPI1588126478
Entity TypeOrganization
Authorized ContactSUSAN M BAILEY
Certified Nurse Practitioner
651-905-3858
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2019-04-01
Last Update Date2019-05-13
Business Address
BIRCH BEHAVIORAL MEDICINE, PLLC
1310 HIGHWAY 96 E STE 104A
WHITE BEAR LAKE, MN 55110-3618
Phone number: 651-905-3858
Mailing Address
BIRCH BEHAVIORAL MEDICINE, PLLC
1310 HIGHWAY 96 E STE 104A
WHITE BEAR LAKE, MN 55110-3618
Phone number: 651-905-3858
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