Portages Health LLC
NPI #1942945761 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1942945761
- Entity Type
- Organization
- Organization Name
- Portages Health LLC
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Enumeration Date
- May 5, 2022
- Last Updated
- May 5, 2022
Practice Location
- Address
- 310 4TH AVE S STE 5010
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55415-1053
- Phone
- (320) 492-2232
Authorized Official
- Name
- LEONARD READ SULIK, MD
- Title
- SOLE MBR
- Phone
- (320) 492-2232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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