Organization · Type 2 NPI

Serge B Pierrecharles Medical Group PLLC

Clinic/Center · New Hope, MN

NPI number 1083124010 Active

Practice location

9220 Bass Lake Rd, Suite 350
New Hope, MN 55428-3095

Call (763) 208-9545 Map

Fax (651) 927-8668

Other practice locations

360 Sherman St Ste 300, St. Paul, MN 55102-2566 · (763) 208-9545

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	58656 (MN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

17 other providers at this address

Other clinic/center providers in New Hope

See all in New Hope →

NPI record

NPI: 1083124010
Entity type: Organization (Type 2)
Issued: Oct 4, 2017
Last updated: Mar 25, 2020
Status: Active

Other names

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Elixir Sports Medicine, Pain, Spine, Rehabilitation & Wellness Center · doing business as
Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat · doing business as

Authorized official

Dr. Serge B Pierrecharles, MD
Owner
(646) 234-3795

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083124010

Serge B Pierrecharles Medical Group PLLC's National Provider Identifier is 1083124010, issued on Oct 4, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in New Hope, MN. The record was last updated on Mar 25, 2020.