| Neurology Specialists, Llc | |
|
4500 Park Glen Road Suite 160 Saint Louis Park MN 55416-4888 | |
| (952) 767-7771 | |
| (952) 767-7774 |
| Full Name | Neurology Specialists, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4500 Park Glen Road, Saint Louis Park, Minnesota |
| Authorized Official Name and Position | Katie L Witschen (OFFICE MANAGER) |
| Authorized Official Contact | 9527677771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Specialists, Llc 4500 Park Glen Road Suite 160 Saint Louis Park MN 55416-4888 Ph: (952) 767-7771 | Neurology Specialists, Llc 4500 Park Glen Road Suite 160 Saint Louis Park MN 55416-4888 Ph: (952) 767-7771 |
| NPI Number | 1659494961 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659494961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36061 (Minnesota) | Primary |
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