MEDICINE LAKE CONSULTATION GROUP,PLLC

ST LOUIS PARK, MN
NPI1881753564
Doing Business AsLAKES CONSULTATION GROUP
Entity TypeOrganization
Authorized ContactANI C RAM
Office Manager
952-378-1800
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence:   2084p0800x)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: MN  103tc0700x)
Enumeration Date2006-12-08
Last Update Date2015-01-23
Business Address
MEDICINE LAKE CONSULTATION GROUP,PLLC
1155 FORD ROAD UNIT B
ST LOUIS PARK, MN 55426
Phone number: 952-378-1800
Mailing Address
MEDICINE LAKE CONSULTATION GROUP,PLLC
1155 FORD ROAD UNIT B
ST LOUIS PARK, MN 55426
Phone number: 952-378-1800