Unknown Individual – Obstetrics & Gynecology Physician, NPI 1316923907
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
STE 315
ST LOUIS PARK, MN 554261728
Phone: (952) 993-6450
Fax: (952) 993-0300
Type: Mailing
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
PARK NICOLLET CLINIC SLP
ST LOUIS PARK, MN 554162527
Phone: (952) 993-3123
Fax: (952) 993-1392
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55426)
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