| Park Nicollet | |
|
9555 Upland Ln N Maple Grove MN 55369-4485 | |
| (952) 993-1440 | |
| Not Available |
| Full Name | Park Nicollet |
|---|---|
| Speciality | Clinic/center |
| Location | 9555 Upland Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Bernt Helgaas (MEDICAL DIRECTOR PARK NICOLLET MGRC) |
| Authorized Official Contact | 9529931440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Nicollet 7102 Olive Ln N Maple Grove MN 55311-3573 Ph: (763) 494-4686 | Park Nicollet 9555 Upland Ln N Maple Grove MN 55369-4485 Ph: (952) 993-1440 |
| NPI Number | 1174975528 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174975528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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