| Northstar Neurological Clinic, P.a. | |
|
12000 Elm Creek Blvd N Suite 330 Maple Grove MN 55369-7073 | |
| (763) 416-1400 | |
| (763) 416-0022 |
| Full Name | Northstar Neurological Clinic, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Pain Medicine |
| Location | 12000 Elm Creek Blvd N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Steven Trobiani (OWNER) |
| Authorized Official Contact | 7634161400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Neurological Clinic, P.a. 12000 Elm Creek Blvd N Suite 330 Maple Grove MN 55369-7073 Ph: (763) 416-1400 | Northstar Neurological Clinic, P.a. 12000 Elm Creek Blvd N Suite 330 Maple Grove MN 55369-7073 Ph: (763) 416-1400 |
| NPI Number | 1497978241 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497978241 | NPI | - | NPPES |
| 2072293 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 32776 (Minnesota) | Primary |
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