Individual provider · Type 1 NPI

Blaze Noble Beecher, MBBS

Family Medicine Physician · St. Louis Park, MN

NPI number 1629868153 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X83435 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1629868153

Blaze Noble Beecher, MBBS's National Provider Identifier is 1629868153, issued on May 8, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Aug 3, 2026.