Provider Demographics
NPI:1740708411
Name:AIM-AXNESS INTEGRATIVE MEDICINE, PLLC
Entity type:Organization
Organization Name:AIM-AXNESS INTEGRATIVE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:AXNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-454-5050
Mailing Address - Street 1:7350 CLEARWATER RD
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8463
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7350 CLEARWATER RD
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8463
Practice Address - Country:US
Practice Address - Phone:218-454-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty