Organization · Type 2 NPI

Spark Medical Providers PA

Geriatric Medicine (Internal Medicine) Physician · St. Louis Park, MN

NPI number 1760374680 Active

Practice location

5320 W 23rd St Ste 130
St. Louis Park, MN 55416-1670

Call (952) 345-8770 Map

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XNone listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

24 other providers at this address

About NPI 1760374680

Spark Medical Providers PA's National Provider Identifier is 1760374680, issued on Jul 16, 2025. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 16, 2025.