Integrated Med Group PLLC
Integrated Med Group PLLC is a Medical Specialty Clinic/Center in Brooklyn Center, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2781 Freeway Blvd Ste 160Brooklyn Center, MN 55430-1765
Phone: (763) 515-8799
Fax: (763) 244-8021
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1609474998 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Stadther — Ceo/Owner · (763) 515-8799 |
| NPI enumerated | October 9, 2020 |
| Last updated in NPPES | October 9, 2020 |
| Certification date | October 8, 2020 |
| Mailing address | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 |