Dr Brian K Sparkman, MD, MS | |
3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | |
(952) 993-3123 | |
Not Available |
Full Name | Dr Brian K Sparkman |
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Gender | Male |
Speciality | Surgery - Surgical Oncology |
Location | 3931 Louisiana Ave S, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922362300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | T-2604 (Mississippi) | Secondary |
208600000X | Surgery | R3759 (Texas) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 76706 (Minnesota) | Primary |
Entity Name | Urgent Specialty Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487164604 PECOS PAC ID: 7618235995 Enrollment ID: O20171213003293 |
Mailing Address | Practice Location Address |
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Dr Brian K Sparkman, MD, MS 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Brian K Sparkman, MD, MS 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 Ph: (952) 993-3123 |
Jeffrey Mendeloff, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 | |
Andrew J K Smith, Surgery Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd #e500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 Phone: 952-993-7342 Fax: 952-993-2701 | |
Brian Grubbs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3017 | |
Dr. Christopher Jen-hung Chow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Department Of Surgery, Meadowbrook W-200, St Louis Park, MN 55426 Phone: 952-993-3180 | |
Michael T Schueppert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Dr. James Ho-ming Kong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 Fax: 952-993-3611 | |
Colleen N Kuzj, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 |