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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | None listed |
| EEG Specialist/Technologist Primary | 246ZE0500X | None 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.