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Adam Fox MD

Clinic/Center, Mental Health (Including Community Mental Health Center) in Minneapolis, MN. Organization (NPI-2).

NPI number1427114487
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1427114487
Entity type
Organization (NPI-2)
Legal business name
Adam Fox MD
Organization subpart
No
Enumeration date
Dec 27, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)38173MNYes

Practice location

15 Groveland Ter Ste 201
Minneapolis, MN 55403-1154

Phone 612-374-1021

Mailing address

15 Groveland Ter Ste 201
Minneapolis, MN 55403-1154

Authorized official

Adam Fox
MD
6123741021

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