Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addiction Care Practitioners, PA

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1699054361

Addiction Care Practitioners, PA is an Addiction Medicine (Anesthesiology) Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2904 Johnson St NE
Minneapolis, MN 55418-2234
Phone: (612) 782-0900
Fax: (612) 788-4930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Anesthesiology) Physician (primary) Taxonomy 207LA0401X · Licence 22350 (MN)

Record details

NPI number1699054361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arthur Fretag — Administrator · (612) 782-0900
NPI enumeratedAugust 11, 2011
Last updated in NPPESAugust 11, 2011
Mailing address17010 County Road 47, Plymouth, MN 55446-1124