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
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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