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EDDICTION MEDICINE PLLC
NPI 1043818354
Preventive Medicine - Addiction Medicine in Lindstrom, MN

Active since October 09, 2020
12018 285TH STREET, LINDSTROM, MN 55045(612) 393-1212(651) 400-3892 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Feb 8, 2021, Oct 9, 2020 (3 updates tracked since 2020).

About Eddiction Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDICTION MEDICINE PLLC (NPI 1043818354) is a healthcare organization registered as an addiction medicine in Lindstrom, Minnesota and active in the NPI registry since October 2020. The organization lists Cori Myer, Office Staff, as its authorized official.

NPPES Registry Identity

NPI1043818354
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameEDDICTION MEDICINE PLLC
Location Address12018 285TH STREETLindstrom, MN 55045
Mailing AddressPo Box 833Lindstrom, MN 55045-0833 · (612) 393-1212 · Fax (651) 257-9422
Phone(612) 393-1212
Fax(651) 400-3892
Organization SubpartNo
Authorized OfficialCori MyerOffice Staff · (612) 393-1212
Enumeration DateOctober 9, 2020
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1043818354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
12018 285TH STREET, Lindstrom, MN 55045
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Other Identifiers 1

Medicaid1932488608MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddiction Medicine PLLC's NPI number?

The NPI number for Eddiction Medicine PLLC is 1043818354. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Eddiction Medicine PLLC located?

Eddiction Medicine PLLC is located at 12018 285th Street, Lindstrom, MN 55045. The listed phone number is (612) 393-1212.

What is Eddiction Medicine PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Eddiction Medicine PLLC was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.