The Minnesota Ketamine and Wellness Institute PA
The Minnesota Ketamine and Wellness Institute PA is an Anesthesiology Physician in Maple Grove, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9325 Upland Ln N Ste 370Maple Grove, MN 55369-4463
Phone: (612) 394-8717
Fax: (763) 432-5721
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
| Anesthesiology Physician (primary) | Taxonomy 207L00000X |
|---|---|
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1003408857 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christena Hatcher — Cfo · (612) 394-8717 |
| Other names | The Minnesota Ketamine And Wellness Institue, P.A.; The Minnesota Ketamine And Wellness Institue, P.A.; The Minnesota And Ketamine Wellness Institute |
| NPI enumerated | February 3, 2021 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 20, 2021 |
| Mailing address | 9325 Upland Ln N Ste 370, Maple Grove, MN 55369-4463 |
Other providers in Maple Grove
-
Ams Minn PLLC
13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 · (941) 360-1566
-
Fairview Maple Grove Surgery Center, LLC
14500 99th Ave N Ste 500, Maple Grove, MN 55369-4742 · (855) 324-7843
-
Dr. Andrew John Pisansky, MD, MS
12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369-7075 · (952) 841-2345
-
Dustin Robert Ward, MD
9645 Grove Cir N Ste 200, Maple Grove, MN 55369 · (763) 201-8191