Integrated Med Group Pllc
NPI #1609474998 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1609474998
- Entity Type
- Organization
- Organization Name
- Integrated Med Group Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 9, 2020
- Last Updated
- Oct 9, 2020
Practice Location
- Address
- 2781 FREEWAY BLVD STE 160
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-1765
- Phone
- (763) 515-8799
Authorized Official
- Name
- JASON STADTHER, DC
- Title
- CEO/OWNER
- Phone
- (763) 515-8799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Clinic/Center - Medical Specialty — Medical Specialty |
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