Individual provider · Type 1 NPI

Jackson Thatcher

Interventional Cardiology Physician · St. Louis Park, MN

NPI number 1174500177 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-3246 Map

Mailing address

6465 Wayzata Blvd, Ste 315
Minneapolis, MN 55426-1728

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician Primary	207RI0011X	31870 (MN)

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1174500177

Jackson Thatcher's National Provider Identifier is 1174500177, issued on Dec 30, 2005. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 13, 2026.