Chad P Soupir, MD | |
6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | |
(952) 993-5290 | |
Not Available |
Full Name | Chad P Soupir |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 22 Years |
Location | 6500 Excelsior Blvd, Minneapolis, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104875301 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Hutchinson Health | Hutchinson, MN | Hospital |
Olivia Hospital & Clinic | Olivia, MN | Hospital |
Ridgeview Medical Center | Waconia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Chad P Soupir, MD Po Box 385760, Bloomington, MN 55438-5760 Ph: (952) 944-0970 | Chad P Soupir, MD 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 Ph: (952) 993-5290 |
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