OrganizationActive
Addiction Care Practitioners, PA
NPI 1699054361 · Addiction Medicine (Anesthesiology) Physician · Minneapolis, MN
Provider details
- NPI number
- 1699054361
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Arthur Fretag, Administrator
- License
- 22350 (MN)
Practice location
2904 Johnson St Ne
Minneapolis, MN 55418-2234
Phone: (612) 782-0900
Fax: (612) 788-4930
Mailing address
17010 County Road 47
Plymouth, MN 55446-1124
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2011-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.