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ADVANCED INTEGRATIVE MEDICINE
NPI 1487949897
General Practice in Crosby, MN

Active since June 14, 2011
5 W MAIN ST, CROSBY, MN 56441(218) 546-7333(218) 546-7334 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Integrative Medicine NPPES

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

ADVANCED INTEGRATIVE MEDICINE (NPI 1487949897) is a healthcare organization registered as a general practice in Crosby, Minnesota and active in the NPI registry since June 2011. The organization lists Mark Bostrom, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487949897
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED INTEGRATIVE MEDICINE
Location Address5 W MAIN STCrosby, MN 56441-1421
Mailing Address5 W Main StCrosby, MN 56441-1421 · (218) 546-7333 · Fax (218) 546-7334
Phone(218) 546-7333
Fax(218) 546-7334
Organization SubpartNo
Authorized OfficialMark BostromExecutive Medical Director · (218) 546-7333
Enumeration DateJune 14, 2011
Last NPPES UpdateOctober 4, 2011
✔ NPI 1487949897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 38115
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5 W MAIN ST, Crosby, MN 56441
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Other Identifiers 2

Medicare UPING79762MN
Medicaid85419100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACHELLE RENEE BRINKS FNP-BC
Nurse Practitioner (Family)
5 W MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7333
CUYUNA FAMILY CHIROPRACTIC
Chiropractor
5 W MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7333

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 Advanced Integrative Medicine's NPI number?

The NPI number for Advanced Integrative Medicine is 1487949897. It was assigned to this organization in the NPPES registry on June 14, 2011.

Where is Advanced Integrative Medicine located?

Advanced Integrative Medicine is located at 5 W Main St, Crosby, MN 56441. The listed phone number is (218) 546-7333.

What is Advanced Integrative Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Advanced Integrative Medicine was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.