Organization · Type 2 NPI
Jerrol Noller MD Ltd
Medical Specialty Clinic/Center · Coon Rapids, MN
Practice location
3863 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Fax (763) 433-8308
Mailing address
1416 Oakwood Dr
Anoka, MN 55303-2747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 23068 (MN) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2 other providers at this address
Other medical specialty clinic/center providers in Coon Rapids
About NPI 1821257593
Jerrol Noller MD Ltd's National Provider Identifier is 1821257593, issued on Jun 6, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Coon Rapids, MN. The record was last updated on Jun 6, 2008.