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NPI Code Detail

MEDICARE: JANUSZ GNOINSKI LADC

MEDICARE: JANUSZ GNOINSKI LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor302110

General Provider Information

NPI Number : 1639396021
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANUSZ GNOINSKI LADC
Provider Business Mailing Address
First Line : 797 7TH ST E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-5014
Country : US
Telephone Number : 651-379-4200
Fax Number : 651-292-0347
Provider Business Practice Location Address
First Line : 797 7TH ST E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-5014
Country : US
Telephone Number : 651-379-4200
Fax Number : 651-292-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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Directions to “ JANUSZ GNOINSKI LADC” Practice Location

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