Park Nicollet Clinic Episodic Bundle | |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 | |
(952) 993-3123 | |
(952) 993-2770 |
Full Name | Park Nicollet Clinic Episodic Bundle |
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Speciality | Family Medicine |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | Jason James Luhrs (VP FINANCE) |
Authorized Official Contact | 9528837158 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Nicollet Clinic Episodic Bundle 3800 Park Nicollet Blvd Attention: Business Services St Louis Park MN 55416-2527 Ph: (952) 993-1000 | Park Nicollet Clinic Episodic Bundle 3800 Park Nicollet Blvd St Louis Park MN 55416-2527 Ph: (952) 993-3123 |
NPI Number | 1063897593 |
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Provider Enumeration Date | 07/27/2015 |
Last Update Date | 10/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063897593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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