Organization · Type 2 NPI

Midwest Innovative Neurodiagnostics LLP

EEG Specialist/Technologist · St. Paul, MN

NPI number 1255962098 Active

Practice location

1766 Ross Ave
St. Paul, MN 55106-4237

Mailing address

PO Box 403
Lakeville, MN 55044-0403

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician 2084N0600XNone listed
EEG Specialist/Technologist Primary 246ZE0500XNone listed

EEG Specialist/Technologist: Definition to come...

About NPI 1255962098

Midwest Innovative Neurodiagnostics LLP's National Provider Identifier is 1255962098, issued on Jan 30, 2020. The primary taxonomy on file is EEG Specialist/Technologist (246ZE0500X), and the practice location is in St. Paul, MN. The record was last updated on Mar 30, 2020.