| Minnesota Comprehensive Epilepsy Program, P.a. | |
|
5775 Wayzata Blvd Suite 200 St Louis Park MN 55416-1222 | |
| (952) 525-4511 | |
| (952) 525-1560 |
| Full Name | Minnesota Comprehensive Epilepsy Program, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5775 Wayzata Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Robert Gumnit (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Contact | 9525254511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Comprehensive Epilepsy Program, P.a. 5775 Wayzata Blvd Suite 200 St Louis Park MN 55416-1222 Ph: (952) 525-4511 | Minnesota Comprehensive Epilepsy Program, P.a. 5775 Wayzata Blvd Suite 200 St Louis Park MN 55416-1222 Ph: (952) 525-4511 |
| NPI Number | 1730211863 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730211863 | NPI | - | NPPES |
| 103730 | Other | MN | U CARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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