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NPI 1265315899

NPI 1265315899 : CENTER FOR DEVELOPMENTAL PSYCHIATRY, PLLC : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1265315899
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR DEVELOPMENTAL PSYCHIATRY, PLLC 
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Dates
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    Enumeration Date     |    07/30/2025
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    3033 EXCELSIOR BLVD STE 530 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55416-5265
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    Country              |    US
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    Telephone            |    612-922-2597
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    Fax                  |    612-417-0858
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Provider Business Mailing Address
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    Address Line         |    3033 EXCELSIOR BLVD STE 530 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55416-5265
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    Country              |    US
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    Telephone            |    612-922-2597
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    Fax                  |    612-417-0858
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Authorized Official
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    Title or Position    |    PSYCHIATRIST/OWNER
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    Name                 |    MR. BRYAN JOSEPH SCHWIETERS 
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    Credential           |    MD
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    Telephone            |    612-799-5397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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