MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC – NPI #1447857230
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC is a provider located in WAYZATA, MN. NPPES has assigned the NPI number 1447857230 to MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC on October 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on May 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC below.

NPI Profile for
MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC

NPI Number
1447857230
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC
Primary location
1120 WAYZATA BLVD E STE 110
WAYZATA, MN 55391-1984
Phone: (952) 222-7670 Fax: (763) 210-6809
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CASSANDRA WILDER
OWNER
Phone: (952) 222-7670
Updated
Certification Date
Jan 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.