Organization · Type 2 NPI

Park Nicollet

Clinic/Center · Maple Grove, MN

NPI number 1174975528 Active

Practice location

9555 Upland Ln N
Maple Grove, MN 55369-4485

Call (952) 993-1440 Map

Mailing address

7102 Olive Ln N
Maple Grove, MN 55311-3573

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

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).

68 other providers at this address

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About NPI 1174975528

Park Nicollet's National Provider Identifier is 1174975528, issued on Jul 11, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 11, 2016.